POOJA S POTHIWALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045527

License Status

EXPIRED

Business

Title

First Name

POOJA

Middle

Last Name

POTHIWALA

Business Name

POOJA S POTHIWALA MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

07/29/2006

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006