PRASHANT N MISTRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120788

License Status

NOT RENEWED

Business

Title

First Name

PRASHANT

Middle

Last Name

MISTRY

Business Name

PRASHANT N MISTRY MD

Original Issue Date

05/06/2008

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014