PRAKASH BHUPENDR PATEL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073911

License Status

INACTIVE

Business

First Name

PRAKASH BHUPENDR

Last Name

PATEL

Business Name

PRAKASH BHUPENDR PATEL

Original Issue Date

10/07/1986

Effective Date

10/07/1986

Expiration Date

07/31/1987

City

RUSSELL

State

Zip

41169

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/24/2016