PRATIBHA B PATEL DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000612

License Status

EXPIRED

Business

First Name

PRATIBHA

Middle

Last Name

PATEL

Suffix

DPM

Business Name

PRATIBHA B PATEL DPM

Original Issue Date

06/16/2006

Effective Date

07/02/2007

Expiration Date

06/30/2008

City

NORTH CHICAGO

State

Zip

60064

Ever Disciplined

LastModifiedDate

07/31/2008