POOJA SRINIVAS DEWILDE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

POOJA

Middle

SRINIVAS

Last Name

DEWILDE

Business Name

POOJA SRINIVAS DEWILDE DO

Original Issue Date

12/26/2013

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023