RUCHA HAILY DALVI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068426

License Status

CANCELLED

Business

Title

First Name

RUCHA

Middle

HAILY

Last Name

DALVI

Business Name

RUCHA HAILY DALVI MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/25/2019