PADMALATHA R MOOLE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041669

License Status

EXPIRED

Business

First Name

PADMALATHA

Middle

Last Name

MOOLE

Business Name

PADMALATHA R MOOLE

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2002

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006