SEJAL DAVE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047068

License Status

CANCELLED

Business

First Name

SEJAL

Last Name

DAVE

Suffix

Business Name

SEJAL DAVE MD

Original Issue Date

08/04/2003

Effective Date

08/04/2003

Expiration Date

08/03/2006

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006