NANDINI A MANDLIK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000651

License Status

EXPIRED

Business

First Name

NANDINI

Middle

Last Name

MANDLIK

Suffix

Business Name

NANDINI A MANDLIK DO

Original Issue Date

05/01/2005

Effective Date

05/01/2005

Expiration Date

05/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006