KUMUD DAHAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131848

License Status

NOT RENEWED

Business

Title

First Name

KUMUD

Last Name

DAHAL

Business Name

KUMUD DAHAL MD

Original Issue Date

12/14/2012

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021