BANDANA PATHAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133261

License Status

NOT RENEWED

Business

Title

First Name

BANDANA

Last Name

PATHAK

Business Name

BANDANA PATHAK MD

Original Issue Date

06/12/2013

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021