NICKY PATEL DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001219

License Status

ACTIVE

Business

Title

DPM

First Name

NICKY

Last Name

PATEL

Business Name

NICKY PATEL DPM

Original Issue Date

06/11/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

05/23/2024