VIVEK VINOD DAVE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047433

License Status

EXPIRED

Business

First Name

VIVEK

Middle

VINOD

Last Name

DAVE

Business Name

VIVEK VINOD DAVE

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2005

City

ELMHURST

State

Zip

60126

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006