MANISHA RAM PUNWANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119462

License Status

NOT RENEWED

Business

Title

First Name

MANISHA

Middle

RAM

Last Name

PUNWANI

Business Name

MANISHA RAM PUNWANI MD

Original Issue Date

09/28/2007

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014