DIPTI BAVISHI - Medical Doctor License in Illinois | # 036082705

DIPTI BAVISHI

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082705

License Status

INACTIVE

Business

N

First Name

DIPTI

Last Name

BAVISHI

Business Name

DIPTI BAVISHI

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

07/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006