MOHAN G PHATAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053629

License Status

NOT RENEWED

Business

First Name

MOHAN G

Last Name

PHATAK

Suffix

Business Name

MOHAN G PHATAK MD

Original Issue Date

09/17/1976

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014