POOJA S POTHIWALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124290

License Status

NOT RENEWED

Business

Title

First Name

POOJA

Middle

Last Name

POTHIWALA

Business Name

POOJA S POTHIWALA MD

Original Issue Date

08/27/2009

Effective Date

05/13/2011

Expiration Date

07/31/2014

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/17/2014