GARY PRAVIN BHAGAT MD - Medical Doctor License in Illinois | # 125073075

GARY PRAVIN BHAGAT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073075

License Status

EXPIRED

Business

N

Title

MD

First Name

GARY

Middle

PRAVIN

Last Name

BHAGAT

Business Name

GARY PRAVIN BHAGAT MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

10/11/2022