AMIT PHULL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056164

License Status

CANCELLED

Business

Title

First Name

AMIT

Last Name

PHULL

Business Name

AMIT PHULL MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2013

City

VIENNA

State

Zip

22182

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/04/2012