JAGRUTI PATEL DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000696

License Status

EXPIRED

Business

First Name

JAGRUTI

Last Name

PATEL

Suffix

DPM

Business Name

JAGRUTI PATEL DPM

Original Issue Date

07/07/2009

Effective Date

07/07/2009

Expiration Date

07/07/2010

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

07/08/2010