KHYATI VIJAY KADIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068787

License Status

EXPIRED

Business

Title

First Name

KHYATI

Middle

VIJAY

Last Name

KADIA

Business Name

KHYATI VIJAY KADIA MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/02/2019