MIRA PATEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086994

License Status

ACTIVE

Business

Title

First Name

MIRA

Last Name

PATEL

Business Name

MIRA PATEL DO

Original Issue Date

06/25/2025

Effective Date

06/25/2025

Expiration Date

06/24/2028

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/24/2025