ANAND DIVYANG TRIVEDI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064189

License Status

CANCELLED

Business

First Name

ANAND

Middle

DIVYANG

Last Name

TRIVEDI

Suffix

Business Name

ANAND DIVYANG TRIVEDI MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014