MALAYKUMAR L TRIVEDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056346

License Status

NOT RENEWED

Business

First Name

MALAYKUMAR L

Last Name

TRIVEDI

Suffix

Business Name

MALAYKUMAR L TRIVEDI MD

Original Issue Date

01/19/1978

Effective Date

01/19/1978

Expiration Date

07/31/1987

City

FORT WAYNE

State

Zip

46815

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006