ANITA VIJAY GOYAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069410

License Status

CANCELLED

Business

Title

First Name

ANITA

Middle

VIJAY

Last Name

GOYAL

Business Name

ANITA VIJAY GOYAL MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/31/2016