PRAVIR VIRAL BAXI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060557

License Status

CANCELLED

Business

Title

First Name

PRAVIR

Middle

VIRAL

Last Name

BAXI

Business Name

PRAVIR VIRAL BAXI MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/05/2014