HENRY JIVAN DALSANIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046451

License Status

EXPIRED

Business

First Name

HENRY

Middle

JIVAN

Last Name

DALSANIA

Suffix

Business Name

HENRY JIVAN DALSANIA MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006