SHRIPAL K BHAVSAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055370

License Status

EXPIRED

Business

Title

First Name

SHRIPAL

Middle

Last Name

BHAVSAR

Business Name

SHRIPAL K BHAVSAR MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009