ANITA M PISHARODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

Last Name

PISHARODY

Suffix

Business Name

ANITA M PISHARODY MD

Original Issue Date

03/03/1998

Effective Date

03/03/1998

Expiration Date

07/31/2008

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011