RUHANI TEJAS NANAVATI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070250

License Status

EXPIRED

Business

Title

First Name

RUHANI

Middle

TEJAS

Last Name

NANAVATI

Business Name

RUHANI TEJAS NANAVATI MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Vascular Surgery

Ever Disciplined

LastModifiedDate

10/11/2022