MEGHA MUNGEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053864

License Status

CANCELLED

Business

First Name

MEGHA

Last Name

MUNGEE

Suffix

Business Name

MEGHA MUNGEE MD

Original Issue Date

09/14/2007

Effective Date

09/14/2007

Expiration Date

12/13/2007

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

M.L.B. Approved Program

Ever Disciplined

LastModifiedDate

09/14/2007