AVANI DESAI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060543

License Status

CANCELLED

Business

Title

First Name

AVANI

Last Name

DESAI

Business Name

AVANI DESAI MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014