ANISH PHENIL PATEL MD - Medical Doctor License in Illinois | # 125084777

ANISH PHENIL PATEL MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084777

License Status

ACTIVE

Business

N

Title

MD

First Name

ANISH

Middle

PHENIL

Last Name

PATEL

Business Name

ANISH PHENIL PATEL MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2027

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

06/08/2024