BIRVA V TRIVEDI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075429

License Status

CANCELLED

Business

Title

First Name

BIRVA

Middle

Last Name

TRIVEDI

Business Name

BIRVA V TRIVEDI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60605

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

02/10/2020