DIVYA PINGLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

DIVYA

Last Name

PINGLE

Suffix

Business Name

DIVYA PINGLE MD

Original Issue Date

10/10/2003

Effective Date

10/10/2003

Expiration Date

07/31/2008

City

BROOKFIELD

State

Zip

60513

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008