PUJA SHETH GOGAWALE MD - Medical Doctor License in Illinois | # 125063473

PUJA SHETH GOGAWALE MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063473

License Status

CANCELLED

Business

N

Title

MD

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

State

IL

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

N

LastModifiedDate

04/07/2016