SUPRIYA BHAT MD - Medical Doctor License in Illinois | # 125058486

SUPRIYA BHAT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058486

License Status

EXPIRED

Business

N

First Name

SUPRIYA

Last Name

BHAT

Suffix

MD

Business Name

SUPRIYA BHAT MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

10/07/2013