DATTATREYA M PHADKE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097172

License Status

INACTIVE

Business

First Name

DATTATREYA

Middle

Last Name

PHADKE

Suffix

Business Name

DATTATREYA M PHADKE MD

Original Issue Date

01/12/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NOVI

State

Zip

48377

Ever Disciplined

LastModifiedDate

07/07/2008