VIJAY MAHADEV PANDAV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057893

License Status

CANCELLED

Business

Title

First Name

VIJAY

Middle

MAHADEV

Last Name

PANDAV

Business Name

VIJAY MAHADEV PANDAV MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/24/2014