MADHURA DILIP GOLE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049695

License Status

EXPIRED

Business

First Name

MADHURA

Middle

DILIP

Last Name

GOLE

Business Name

MADHURA DILIP GOLE

Original Issue Date

06/27/2005

Effective Date

06/27/2005

Expiration Date

06/26/2006

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006