PRABHUDEV PATIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083018

License Status

ACTIVE

Business

Title

First Name

PRABHUDEV

Last Name

PATIL

Business Name

PRABHUDEV PATIL MD

Original Issue Date

07/03/2023

Effective Date

07/03/2023

Expiration Date

07/02/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/03/2023