SACHIN VIJAYKUMAR PHADE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122414

License Status

NOT RENEWED

Business

First Name

SACHIN

Middle

VIJAYKUMAR

Last Name

PHADE

Suffix

Business Name

SACHIN VIJAYKUMAR PHADE MD

Original Issue Date

01/07/2009

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

CHATTANOOGA

State

Zip

37403

County

TENNESSEE

Ever Disciplined

LastModifiedDate

01/14/2021