ERIK PINGOUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048040

License Status

NOT RENEWED

Business

First Name

ERIK

Last Name

PINGOUD

Suffix

Business Name

ERIK PINGOUD MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

City

NEW HAVEN

State

Zip

06511

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006