VIPUL BHAGAT - Medical Doctor License in Illinois | # 125047009

VIPUL BHAGAT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047009

License Status

EXPIRED

Business

N

First Name

VIPUL

Last Name

BHAGAT

Business Name

VIPUL BHAGAT

Original Issue Date

07/14/2003

Effective Date

07/14/2003

Expiration Date

07/13/2006

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006