KAMLESHKUMAR PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083671

License Status

NOT RENEWED

Business

First Name

KAMLESHKUMAR

Last Name

PATEL

Suffix

Business Name

KAMLESHKUMAR PATEL MD

Original Issue Date

10/31/1991

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

FORT WAYNE

State

Zip

46845

Ever Disciplined

LastModifiedDate

11/01/2017