MANJARI DEVIDI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057266

License Status

EXPIRED

Business

First Name

MANJARI

Last Name

DEVIDI

Business Name

MANJARI DEVIDI

Original Issue Date

08/31/2009

Effective Date

08/31/2009

Expiration Date

08/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2012