KUMAR SUBODH DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

KUMAR

Middle

SUBODH

Last Name

DESAI

Business Name

KUMAR SUBODH DESAI MD

Original Issue Date

12/01/2010

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

THOUSAND OAKS

State

Zip

91360

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017