KUMAR P DAULAT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029032

License Status

EXPIRED

Business

First Name

KUMAR P

Last Name

DAULAT

Suffix

Business Name

KUMAR P DAULAT DO

Original Issue Date

07/14/1992

Effective Date

07/14/1992

Expiration Date

06/30/1994

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006