NINA PRAVIN TAHILIANI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042181

License Status

EXPIRED

Business

First Name

NINA

Middle

PRAVIN

Last Name

TAHILIANI

Suffix

Business Name

NINA PRAVIN TAHILIANI MD

Original Issue Date

09/29/2000

Effective Date

09/29/2000

Expiration Date

09/28/2003

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006