RUJUTA PRAVINKUMAR TRIVEDI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055247

License Status

EXPIRED

Business

First Name

RUJUTA

Middle

PRAVINKUMAR

Last Name

TRIVEDI

Business Name

RUJUTA PRAVINKUMAR TRIVEDI

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

06/25/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011