SHAMITA TRIVEDI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054568

License Status

EXPIRED

Business

Title

First Name

SHAMITA

Last Name

TRIVEDI

Business Name

SHAMITA TRIVEDI DO

Original Issue Date

06/22/2008

Effective Date

06/22/2008

Expiration Date

06/21/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/19/2011