KHYATI TALATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141546

License Status

NOT RENEWED

Business

Title

First Name

KHYATI

Last Name

TALATI

Business Name

KHYATI TALATI MD

Original Issue Date

08/23/2016

Effective Date

06/01/2017

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/14/2021