ANKUR B DAVE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060345

License Status

CANCELLED

Business

Title

First Name

ANKUR

Middle

Last Name

DAVE

Business Name

ANKUR B DAVE DO

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

PALOS HEIGHTS

State

Zip

60463

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/02/2011