ANANDITA GEPHART Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032076

License Status

EXPIRED

Business

First Name

ANANDITA

Last Name

GEPHART

Business Name

ANANDITA GEPHART

Original Issue Date

06/30/1994

Effective Date

06/30/1994

Expiration Date

06/30/1997

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006