ANISH PHENIL PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084777

License Status

ACTIVE

Business

Title

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/08/2024