VARSHITA PANDE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054698

License Status

EXPIRED

Business

Title

First Name

VARSHITA

Last Name

PANDE

Business Name

VARSHITA PANDE MD

Original Issue Date

06/26/2011

Effective Date

06/26/2011

Expiration Date

12/25/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

01/18/2012