SUBODH C DESAI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054601

License Status

INACTIVE

Business

First Name

SUBODH C

Last Name

DESAI

Suffix

Business Name

SUBODH C DESAI MD

Original Issue Date

05/13/1977

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

06/26/2008