N D DEVASIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048267

License Status

NOT RENEWED

Business

First Name

N D

Last Name

DEVASIA

Suffix

Business Name

N D DEVASIA MD

Original Issue Date

09/19/1973

Effective Date

09/19/1973

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006