SANJAY K KHOLWADWALA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031120

License Status

EXPIRED

Business

First Name

SANJAY K

Last Name

KHOLWADWALA

Business Name

SANJAY K KHOLWADWALA

Original Issue Date

05/12/1994

Effective Date

05/12/1994

Expiration Date

06/30/1997

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006