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Miteswar
Miteswar
Purewal
Medical doctor
Bala-Cynwyd, United States
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Florida Health Care Practitioner Data Portal
Full name
MITESWAR PUREWAL
Job Title
Medical Doctor
Location
Bala Cynwyd
LIC ID
137353
Current License Expiration Date
31/01/2026
Original Date
27/07/2018
Professional Rank Code
ME
Effective Date
30/03/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Mailing Address Line 2
Unit 6B
Practice Location Address Line 1
42 Conshohoken State Rd
Practice Location Address Line 2
Unit 6B
Practice Location Address City
BALA CYNWYD
Practice Location Address State
PA
Practice Location Address Zipcode
19004
Prescribing Indicator
N
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