DIPTI MOHANLAL MISTRY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058262

License Status

EXPIRED

Business

First Name

DIPTI

Middle

MOHANLAL

Last Name

MISTRY

Suffix

Business Name

DIPTI MOHANLAL MISTRY MD

Original Issue Date

06/22/2013

Effective Date

06/22/2013

Expiration Date

06/21/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

03/13/2015