AMITA A BAGAL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105038

License Status

NOT RENEWED

Business

First Name

AMITA

Middle

Last Name

BAGAL

Business Name

AMITA A BAGAL

Original Issue Date

06/25/2001

Effective Date

07/09/2014

Expiration Date

07/31/2017

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017