AMITA GOYAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066999

License Status

CANCELLED

Business

Title

First Name

AMITA

Last Name

GOYAL

Business Name

AMITA GOYAL MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/06/2016