DEEPALI RASTOGI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045209

License Status

EXPIRED

Business

First Name

DEEPALI

Last Name

RASTOGI

Suffix

Business Name

DEEPALI RASTOGI MD

Original Issue Date

06/25/2002

Effective Date

06/25/2002

Expiration Date

06/30/2004

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006