BAVANI WANAR RAJAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072055

License Status

CANCELLED

Business

Title

First Name

BAVANI

Middle

WANAR

Last Name

RAJAH

Business Name

BAVANI WANAR RAJAH MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/18/2018