VIREN S BAVISHI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036665

License Status

EXPIRED

Business

First Name

VIREN

Middle

Last Name

BAVISHI

Suffix

Business Name

VIREN S BAVISHI DO

Original Issue Date

06/12/1997

Effective Date

06/12/1997

Expiration Date

06/24/2000

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006