VIJAY K ADI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035202

License Status

CANCELLED

Business

First Name

VIJAY K

Last Name

ADI

Business Name

VIJAY K ADI

Original Issue Date

06/21/1996

Effective Date

06/21/1996

Expiration Date

06/30/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Neonatal-Perinatal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006