MADHAVI V PITALE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029021

License Status

EXPIRED

Business

First Name

MADHAVI

Middle

Last Name

PITALE

Business Name

MADHAVI V PITALE

Original Issue Date

07/09/1992

Effective Date

07/09/1992

Expiration Date

07/08/1995

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Pediatric Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006