MITUL KADAKIA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074628

License Status

CANCELLED

Business

Title

First Name

MITUL

Last Name

KADAKIA

Business Name

MITUL KADAKIA DO

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2022

City

INA

State

Zip

62846

County

JEFFERSON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/16/2019