HETAL H AMIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029093

License Status

EXPIRED

Business

First Name

HETAL

Middle

Last Name

AMIN

Suffix

Business Name

HETAL H AMIN MD

Original Issue Date

08/04/1992

Effective Date

08/04/1992

Expiration Date

08/16/1996

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006