CHETAN VAGESH HAMPOLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051072

License Status

EXPIRED

Business

First Name

CHETAN

Middle

VAGESH

Last Name

HAMPOLE

Suffix

Business Name

CHETAN VAGESH HAMPOLE MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/08/2010