P KANTILAL DAVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055316

License Status

NOT RENEWED

Business

First Name

P KANTILAL

Last Name

DAVE

Suffix

Business Name

P KANTILAL DAVE MD

Original Issue Date

08/11/1977

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017