VIPASHA RANI KUMAR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001157

License Status

CANCELLED

Business

Title

First Name

VIPASHA

Middle

RANI

Last Name

KUMAR

Business Name

VIPASHA RANI KUMAR DO

Original Issue Date

03/29/2017

Effective Date

03/29/2017

Expiration Date

09/28/2017

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/29/2017