DIVAKAR SINGH MITHAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064339

License Status

CANCELLED

Business

Title

First Name

DIVAKAR

Middle

SINGH

Last Name

MITHAL

Business Name

DIVAKAR SINGH MITHAL MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Neurocritical Care

Ever Disciplined

LastModifiedDate

05/18/2018