MASOOM JAGDISHBHAI DESAI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071769

License Status

EXPIRED

Business

Title

First Name

MASOOM

Middle

JAGDISHBHAI

Last Name

DESAI

Business Name

MASOOM JAGDISHBHAI DESAI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Clinical Neurophysiology

Ever Disciplined

LastModifiedDate

10/02/2019