ADITI MOHANKUMAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059831

License Status

EXPIRED

Business

Title

First Name

ADITI

Last Name

MOHANKUMAR

Business Name

ADITI MOHANKUMAR MD

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

08/16/2016