NIDHI S UNDEVIA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036091

License Status

EXPIRED

Business

First Name

NIDHI S

Last Name

UNDEVIA

Business Name

NIDHI S UNDEVIA

Original Issue Date

05/15/1997

Effective Date

05/15/1997

Expiration Date

06/23/2000

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006