PRADIPKUMAR S DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055884

License Status

NOT RENEWED

Business

First Name

PRADIPKUMAR S

Last Name

DESAI

Suffix

Business Name

PRADIPKUMAR S DESAI MD

Original Issue Date

10/17/1977

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023