DEVENDRA AUTAR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078989

License Status

EXPIRED

Business

Title

First Name

DEVENDRA

Last Name

AUTAR

Business Name

DEVENDRA AUTAR DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

LOVES PARK

State

Zip

61111

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2024