NIVEDITA J DAVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059676

License Status

NOT RENEWED

Business

First Name

NIVEDITA J

Last Name

DAVE

Suffix

Business Name

NIVEDITA J DAVE MD

Original Issue Date

10/26/1979

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017