DEVANG KISHOR SANGHAVI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

DEVANG

Middle

KISHOR

Last Name

SANGHAVI

Business Name

DEVANG KISHOR SANGHAVI MD

Original Issue Date

04/22/2013

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

32224

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023