KIRTIBEN P DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062399

License Status

NOT RENEWED

Business

First Name

KIRTIBEN P

Last Name

DESAI

Suffix

Business Name

KIRTIBEN P DESAI MD

Original Issue Date

07/01/1981

Effective Date

06/01/2017

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021