ANUJA TRIVEDI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077180

License Status

CANCELLED

Business

Title

First Name

ANUJA

Last Name

TRIVEDI

Business Name

ANUJA TRIVEDI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60649

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/11/2020