ROSHAN B DARYANANI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112595

License Status

INACTIVE

Business

First Name

ROSHAN

Middle

Last Name

DARYANANI

Suffix

Business Name

ROSHAN B DARYANANI MD

Original Issue Date

11/03/2004

Effective Date

11/03/2004

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006