ANJALI DESAI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073203

License Status

EXPIRED

Business

Title

First Name

ANJALI

Last Name

DESAI

Business Name

ANJALI DESAI DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022