DIPTI BAVISHI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024122

License Status

EXPIRED

Business

First Name

DIPTI

Last Name

BAVISHI

Business Name

DIPTI BAVISHI

Original Issue Date

06/20/1989

Effective Date

06/20/1989

Expiration Date

06/26/1992

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006