DATTATREYA M PHADKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033357

License Status

EXPIRED

Business

First Name

DATTATREYA

Middle

Last Name

PHADKE

Suffix

Business Name

DATTATREYA M PHADKE MD

Original Issue Date

06/14/1995

Effective Date

06/14/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006