NISHI KISHOR DEDANIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065840

License Status

CANCELLED

Business

Title

First Name

NISHI

Middle

KISHOR

Last Name

DEDANIA

Business Name

NISHI KISHOR DEDANIA MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

05/29/2014