ANITA M PISHARODY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033861

License Status

CANCELLED

Business

First Name

ANITA

Middle

Last Name

PISHARODY

Suffix

Business Name

ANITA M PISHARODY MD

Original Issue Date

08/03/1995

Effective Date

08/03/1995

Expiration Date

08/02/1998

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006