BHALCHANDRA K DAVE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051100

License Status

INACTIVE

Business

First Name

BHALCHANDRA K

Last Name

DAVE

Suffix

Business Name

BHALCHANDRA K DAVE MD

Original Issue Date

06/24/1975

Effective Date

06/24/1975

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006