MUKUND PADMAKAR GODBOLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

MUKUND

Middle

PADMAKAR

Last Name

GODBOLE

Suffix

Business Name

MUKUND PADMAKAR GODBOLE MD

Original Issue Date

08/21/2008

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

PRINCETON

State

Zip

61356

County

WARREN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021