KISHORKUMAR AMBAVIBHAI DESAI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041673

License Status

EXPIRED

Business

First Name

KISHORKUMAR

Middle

AMBAVIBHAI

Last Name

DESAI

Business Name

KISHORKUMAR AMBAVIBHAI DESAI

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006