SACHIN MADHUKAR KAMBLE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046893

License Status

CANCELLED

Business

First Name

SACHIN

Middle

MADHUKAR

Last Name

KAMBLE

Suffix

Business Name

SACHIN MADHUKAR KAMBLE MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006