AMRIT VED BHASKARLA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070555

License Status

CANCELLED

Business

Title

First Name

AMRIT

Middle

VED

Last Name

BHASKARLA

Business Name

AMRIT VED BHASKARLA DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/28/2017