PRIYA VIJAY MHATRE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055637

License Status

CANCELLED

Business

Title

First Name

PRIYA

Middle

VIJAY

Last Name

MHATRE

Business Name

PRIYA VIJAY MHATRE MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

03/27/2009