MAMTA PANT MD - Medical Doctor License in Wisconsin | # 125062438

MAMTA PANT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062438

License Status

EXPIRED

Business

N

First Name

MAMTA

Last Name

PANT

Suffix

MD

Business Name

MAMTA PANT MD

Original Issue Date

07/12/2012

Effective Date

07/12/2012

Expiration Date

07/11/2015

State

WI

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

09/04/2015