DIVYESH GAJU PATEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108947

License Status

INACTIVE

Business

First Name

DIVYESH

Middle

GAJU

Last Name

PATEL

Suffix

Business Name

DIVYESH GAJU PATEL MD

Original Issue Date

04/02/2003

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

04/30/2014