ANITA PRAVIN GANDHY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107065

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

PRAVIN

Last Name

GANDHY

Business Name

ANITA PRAVIN GANDHY

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006