VIVEK BEHERA MD - Medical Doctor License in Illinois | # 125077076

VIVEK BEHERA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077076

License Status

EXPIRED

Business

N

Title

MD

First Name

VIVEK

Last Name

BEHERA

Business Name

VIVEK BEHERA MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

State

IL

Specialty/Qualifier

Hematology and Oncology

Ever Disciplined

N

LastModifiedDate

03/29/2022