ANKUR PRAFULL DAVE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058485

License Status

EXPIRED

Business

Title

First Name

ANKUR

Middle

PRAFULL

Last Name

DAVE

Business Name

ANKUR PRAFULL DAVE MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

ELK GROVE VILLAGE

State

Zip

60007

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/13/2015