DIBYENDU KUMAR RAY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057278

License Status

EXPIRED

Business

First Name

DIBYENDU

Middle

KUMAR

Last Name

RAY

Business Name

DIBYENDU KUMAR RAY

Original Issue Date

10/28/2009

Effective Date

10/28/2009

Expiration Date

10/27/2010

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurosurgery/Spine Fellowship

Ever Disciplined

LastModifiedDate

11/17/2010