The holder whose full name is Patel, Ajay Babu,come from Lisle IL,hold the Medical Residency Permit license(NO.11011485A) which status is Superceded.
| Name | Patel, Ajay Babu |
|---|---|
| License Number | 11011485A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Lisle |
| State | IL |