KINJAL DHAIR YAKUMAR DAVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133206

License Status

NOT RENEWED

Business

Title

First Name

KINJAL

Middle

DHAIR YAKUMAR

Last Name

DAVE

Business Name

KINJAL DHAIR YAKUMAR DAVE MD

Original Issue Date

06/10/2013

Effective Date

06/10/2013

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014