SANJAY VASUDEV BHAT MD - Medical Doctor License in Illinois | # 125038702

SANJAY VASUDEV BHAT MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038702

License Status

CANCELLED

Business

N

First Name

SANJAY

Middle

VASUDEV

Last Name

BHAT

Suffix

MD

Business Name

SANJAY VASUDEV BHAT MD

Original Issue Date

07/07/1998

Effective Date

07/07/1998

Expiration Date

07/06/2001

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006