SHANTILAL S PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065647

License Status

ACTIVE

Business

First Name

SHANTILAL S

Last Name

PATEL

Suffix

Business Name

SHANTILAL S PATEL MD

Original Issue Date

11/15/1982

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

TERRE HAUTE

State

Zip

47807

County

INDIANA

Ever Disciplined

LastModifiedDate

06/06/2023