DIPTI BAVISHI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

DIPTI

Last Name

BAVISHI

Business Name

DIPTI BAVISHI

Original Issue Date

07/08/1991

Effective Date

07/08/1991

Expiration Date

07/31/1996

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006