VIKAS A DESAI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058435

License Status

EXPIRED

Business

First Name

VIKAS

Middle

Last Name

DESAI

Suffix

Business Name

VIKAS A DESAI MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2011

City

CHAMPAIGN

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/19/2011