MAYURIKA NARAYAN PISE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067624

License Status

CANCELLED

Business

Title

First Name

MAYURIKA

Middle

NARAYAN

Last Name

PISE

Business Name

MAYURIKA NARAYAN PISE MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/04/2019