MITESH VALLABH BADIWALA MD - Medical Doctor License in Illinois | # 036131995

MITESH VALLABH BADIWALA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131995

License Status

INACTIVE

Business

N

Title

MD

First Name

MITESH

Middle

VALLABH

Last Name

BADIWALA

Business Name

MITESH VALLABH BADIWALA MD

Original Issue Date

02/13/2013

Effective Date

02/13/2013

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014