DEEPAK MANMOHAN GOYAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058528

License Status

EXPIRED

Business

Title

First Name

DEEPAK

Middle

MANMOHAN

Last Name

GOYAL

Business Name

DEEPAK MANMOHAN GOYAL MD

Original Issue Date

07/02/2010

Effective Date

07/02/2010

Expiration Date

07/01/2013

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013