HIRENKUMAR D ITALIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129919

License Status

ACTIVE

Business

Title

First Name

HIRENKUMAR

Middle

Last Name

ITALIA

Business Name

HIRENKUMAR D ITALIA MD

Original Issue Date

04/02/2012

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

CHARLOTTE

State

Zip

28213

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/17/2023