SONIA SHAILESH GODAMBE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048073

License Status

EXPIRED

Business

First Name

SONIA

Middle

SHAILESH

Last Name

GODAMBE

Suffix

Business Name

SONIA SHAILESH GODAMBE MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

City

ELGIN

State

Zip

60123

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007