KISHORKUMAR AMBAVIBHAI DESAI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105595

License Status

NOT RENEWED

Business

First Name

KISHORKUMAR

Middle

AMBAVIBHAI

Last Name

DESAI

Business Name

KISHORKUMAR AMBAVIBHAI DESAI

Original Issue Date

09/18/2001

Effective Date

09/18/2001

Expiration Date

07/31/2002

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006