PRASHANT SHANTILAL PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135190

License Status

NOT RENEWED

Business

Title

First Name

PRASHANT

Middle

SHANTILAL

Last Name

PATEL

Business Name

PRASHANT SHANTILAL PATEL MD

Original Issue Date

04/29/2014

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

TERRE HAUTE

State

Zip

47807

Ever Disciplined

LastModifiedDate

01/14/2021