PIYUSH C PATEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049081

License Status

INACTIVE

Business

First Name

PIYUSH C

Last Name

PATEL

Suffix

Business Name

PIYUSH C PATEL MD

Original Issue Date

03/26/1974

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

JACKSON

State

Zip

49204

Ever Disciplined

LastModifiedDate

07/30/2014