VIVEK KAK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033287

License Status

EXPIRED

Business

First Name

VIVEK

Last Name

KAK

Business Name

VIVEK KAK

Original Issue Date

06/12/1995

Effective Date

06/12/1995

Expiration Date

06/25/1998

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006