VIREN S BAVISHI DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102407

License Status

INACTIVE

Business

First Name

VIREN

Middle

Last Name

BAVISHI

Suffix

Business Name

VIREN S BAVISHI DO

Original Issue Date

05/03/2000

Effective Date

05/03/2000

Expiration Date

07/31/2005

City

DEPERE

State

Zip

54115

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/28/2014