ADYA BAKUL DAVE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083801

License Status

ACTIVE

Business

Title

First Name

ADYA

Middle

BAKUL

Last Name

DAVE

Business Name

ADYA BAKUL DAVE DO

Original Issue Date

06/22/2024

Effective Date

06/22/2024

Expiration Date

06/21/2027

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/12/2024