RUPAL MANGESH POTNIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037709

License Status

EXPIRED

Business

First Name

RUPAL

Middle

MANGESH

Last Name

POTNIS

Suffix

Business Name

RUPAL MANGESH POTNIS MD

Original Issue Date

05/13/1998

Effective Date

05/13/1998

Expiration Date

06/26/2001

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006