MANISH SURENDRA PATEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116200

License Status

INACTIVE

Business

First Name

MANISH

Middle

SURENDRA

Last Name

PATEL

Suffix

Business Name

MANISH SURENDRA PATEL MD

Original Issue Date

06/12/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

EAST BRUNSWICK

State

Zip

08816

Ever Disciplined

LastModifiedDate

04/17/2008