MANALI AJAY BHAVE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059165

License Status

EXPIRED

Business

Title

First Name

MANALI

Middle

AJAY

Last Name

BHAVE

Business Name

MANALI AJAY BHAVE MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015