SOURABH LAHOTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160795

License Status

ACTIVE

Business

Title

First Name

SOURABH

Last Name

LAHOTI

Business Name

SOURABH LAHOTI MD

Original Issue Date

06/07/2022

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

06/10/2023