PUJA SHETH GOGAWALE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063473

License Status

CANCELLED

Business

Title

First Name

PUJA

Middle

SHETH

Last Name

GOGAWALE

Business Name

PUJA SHETH GOGAWALE MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/07/2016