NISHI KISHOR DEDANIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142983

License Status

NOT RENEWED

Business

Title

First Name

NISHI

Middle

KISHOR

Last Name

DEDANIA

Business Name

NISHI KISHOR DEDANIA MD

Original Issue Date

04/13/2017

Effective Date

04/13/2017

Expiration Date

09/30/2020

City

BETHLEHEM

State

Zip

18020

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

01/14/2021