MITESH VALLABH BADIWALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131995

License Status

INACTIVE

Business

Title

First Name

MITESH

Middle

VALLABH

Last Name

BADIWALA

Business Name

MITESH VALLABH BADIWALA MD

Original Issue Date

02/13/2013

Effective Date

02/13/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014