RAVI KANT BAJAJ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000160

License Status

EXPIRED

Business

First Name

RAVI

Middle

KANT

Last Name

BAJAJ

Suffix

Business Name

RAVI KANT BAJAJ MD

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

12/23/2002

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006