VRUSHALI V PIDADY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035391

License Status

EXPIRED

Business

First Name

VRUSHALI

Middle

Last Name

PIDADY

Suffix

Business Name

VRUSHALI V PIDADY MD

Original Issue Date

07/16/1996

Effective Date

07/16/1996

Expiration Date

07/11/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/03/2009