MRUDULA SUBODH DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057506

License Status

NOT RENEWED

Business

First Name

MRUDULA SUBODH

Last Name

DESAI

Suffix

Business Name

MRUDULA SUBODH DESAI MD

Original Issue Date

08/21/1978

Effective Date

05/15/2014

Expiration Date

07/31/2017

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017