KETAN A DHADPHALE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036697

License Status

EXPIRED

Business

First Name

KETAN

Middle

Last Name

DHADPHALE

Suffix

Business Name

KETAN A DHADPHALE MD

Original Issue Date

06/13/1997

Effective Date

06/13/1997

Expiration Date

06/30/2001

City

N CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006