DIVYA GOYAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077451

License Status

CANCELLED

Business

Title

First Name

DIVYA

Last Name

GOYAL

Business Name

DIVYA GOYAL MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

12/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Preventive Medicine – Occupational Medicine

Ever Disciplined

LastModifiedDate

04/01/2021