HIMANSHU PATHAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134886

License Status

NOT RENEWED

Business

Title

First Name

HIMANSHU

Last Name

PATHAK

Business Name

HIMANSHU PATHAK MD

Original Issue Date

03/31/2014

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021