PRATIK VISHNU PATEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124030

License Status

NOT RENEWED

Business

First Name

PRATIK VISHNU

Last Name

PATEL

Business Name

PRATIK VISHNU PATEL

Original Issue Date

07/16/2009

Effective Date

04/22/2011

Expiration Date

07/31/2014

City

BOSTON

State

Zip

02114

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/17/2014