SANDEEP DEVATA - Medical Doctor License in Illinois | # 125044267

SANDEEP DEVATA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044267

License Status

EXPIRED

Business

N

First Name

SANDEEP

Last Name

DEVATA

Business Name

SANDEEP DEVATA

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

07/03/2007