AMY SANGHAVI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048513

License Status

EXPIRED

Business

First Name

AMY

Last Name

SANGHAVI

Suffix

Business Name

AMY SANGHAVI MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/03/2007