KRUTI DESAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148886

License Status

ACTIVE

Business

Title

First Name

KRUTI

Last Name

DESAI

Business Name

KRUTI DESAI MD

Original Issue Date

04/03/2019

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/13/2023