NISTHA ASHWIN RAWAL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070043

License Status

CANCELLED

Business

Title

First Name

NISTHA

Middle

ASHWIN

Last Name

RAWAL

Business Name

NISTHA ASHWIN RAWAL DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

05/07/2020