ANIT KIRAN BEHERA MD - Medical Doctor License in Illinois | # 125073581

ANIT KIRAN BEHERA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073581

License Status

CANCELLED

Business

N

Title

MD

First Name

ANIT

Middle

KIRAN

Last Name

BEHERA

Business Name

ANIT KIRAN BEHERA MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

State

IL

Specialty/Qualifier

Neurology

Ever Disciplined

N

LastModifiedDate

01/03/2020