SANJIVA GOYAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032347

License Status

EXPIRED

Business

First Name

SANJIVA

Last Name

GOYAL

Suffix

Business Name

SANJIVA GOYAL MD

Original Issue Date

09/07/1994

Effective Date

09/07/1994

Expiration Date

09/07/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006