SHAILESH U PITALE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033171

License Status

EXPIRED

Business

First Name

SHAILESH U

Last Name

PITALE

Business Name

SHAILESH U PITALE

Original Issue Date

06/08/1995

Effective Date

06/08/1995

Expiration Date

06/26/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006