SHITAL DESAI KUMAR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043082

License Status

EXPIRED

Business

First Name

SHITAL

Middle

DESAI

Last Name

KUMAR

Business Name

SHITAL DESAI KUMAR

Original Issue Date

06/25/2001

Effective Date

06/25/2001

Expiration Date

07/18/2004

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006