FALGUNI R VASA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034211

License Status

EXPIRED

Business

First Name

FALGUNI

Middle

Last Name

VASA

Business Name

FALGUNI R VASA

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

06/30/1999

City

CHCIAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006