DIPTI BAVISHI - Medical Doctor License in Illinois | # 125024122

DIPTI BAVISHI

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024122

License Status

EXPIRED

Business

N

First Name

DIPTI

Last Name

BAVISHI

Business Name

DIPTI BAVISHI

Original Issue Date

06/20/1989

Effective Date

06/20/1989

Expiration Date

06/26/1992

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006