NISARG MARDAV BAKSHI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075632

License Status

CANCELLED

Business

Title

First Name

NISARG

Middle

MARDAV

Last Name

BAKSHI

Business Name

NISARG MARDAV BAKSHI DO

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/01/2020