PRAMOD N PATEL DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000573

License Status

EXPIRED

Business

First Name

PRAMOD

Middle

Last Name

PATEL

Suffix

DPM

Business Name

PRAMOD N PATEL DPM

Original Issue Date

04/29/2005

Effective Date

04/29/2005

Expiration Date

06/30/2006

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

09/25/2006