KANTA R DESAI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085593

License Status

INACTIVE

Business

First Name

KANTA R

Last Name

DESAI

Suffix

Business Name

KANTA R DESAI MD

Original Issue Date

11/06/1992

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

06/27/2014