CHARMI VIJAY DESAI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073919

License Status

CANCELLED

Business

Title

First Name

CHARMI

Middle

VIJAY

Last Name

DESAI

Business Name

CHARMI VIJAY DESAI DO

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2019