PREMAL MADHUKAR TRIVEDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125926

License Status

NOT RENEWED

Business

Title

First Name

PREMAL

Middle

MADHUKAR

Last Name

TRIVEDI

Business Name

PREMAL MADHUKAR TRIVEDI MD

Original Issue Date

06/07/2010

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

HOUSTON

State

Zip

77005

County

TEXAS

Ever Disciplined

LastModifiedDate

11/17/2014