PARAG DIPAK PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001355

License Status

EXPIRED

Business

Title

First Name

PARAG

Middle

DIPAK

Last Name

PATEL

Business Name

PARAG DIPAK PATEL DO

Original Issue Date

05/11/2020

Effective Date

05/11/2020

Expiration Date

06/10/2020

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

11/19/2020