SHRIPAL K BHAVSAR MD - Medical Doctor License in Illinois | # 125055370

SHRIPAL K BHAVSAR MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055370

License Status

EXPIRED

Business

N

Title

MD

First Name

SHRIPAL

Middle

K

Last Name

BHAVSAR

Business Name

SHRIPAL K BHAVSAR MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2009

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/15/2009