ASHISH K MOONAT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056582

License Status

EXPIRED

Business

Title

First Name

ASHISH

Middle

Last Name

MOONAT

Business Name

ASHISH K MOONAT MD

Original Issue Date

06/15/2012

Effective Date

06/15/2012

Expiration Date

08/28/2012

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2012