MAMTA PANT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062438

License Status

EXPIRED

Business

First Name

MAMTA

Last Name

PANT

Suffix

Business Name

MAMTA PANT MD

Original Issue Date

07/12/2012

Effective Date

07/12/2012

Expiration Date

07/11/2015

City

WAUWATOSA

State

Zip

53226

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/04/2015