WAHEEDA MITHANI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052017

License Status

EXPIRED

Business

First Name

WAHEEDA

Last Name

MITHANI

Suffix

Business Name

WAHEEDA MITHANI MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/15/2009