PRATIKSHA JIGNESH TRIVEDI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055572

License Status

CANCELLED

Business

Title

First Name

PRATIKSHA

Middle

JIGNESH

Last Name

TRIVEDI

Business Name

PRATIKSHA JIGNESH TRIVEDI MD

Original Issue Date

09/04/2011

Effective Date

09/04/2011

Expiration Date

09/03/2012

City

DEERFIELD

State

Zip

60015

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/26/2011