VIDYA DESHPANDE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057055

License Status

INACTIVE

Business

First Name

VIDYA

Last Name

DESHPANDE

Suffix

Business Name

VIDYA DESHPANDE MD

Original Issue Date

07/19/1978

Effective Date

05/30/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

04/12/2017