MUKUND PADMAKAR GODBOLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055397

License Status

NOT RENEWED

Business

First Name

MUKUND

Middle

PADMAKAR

Last Name

GODBOLE

Suffix

Business Name

MUKUND PADMAKAR GODBOLE MD

Original Issue Date

08/11/1977

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

11/30/2023