PUJA SHAILESH SITWALA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064208

License Status

CANCELLED

Business

First Name

PUJA

Middle

SHAILESH

Last Name

SITWALA

Business Name

PUJA SHAILESH SITWALA

Original Issue Date

07/02/2013

Effective Date

07/02/2013

Expiration Date

07/01/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/02/2013