PRAMOD DIGAMBER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

PRAMOD

Last Name

DIGAMBER

Suffix

Business Name

PRAMOD DIGAMBER MD

Original Issue Date

10/06/1997

Effective Date

10/06/1997

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61607

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006