SURBHI BHARAT TRIVEDI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076051

License Status

CANCELLED

Business

Title

First Name

SURBHI

Middle

BHARAT

Last Name

TRIVEDI

Business Name

SURBHI BHARAT TRIVEDI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/01/2020