KIRAN BHASKAR KHANOLKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

KIRAN

Middle

BHASKAR

Last Name

KHANOLKAR

Business Name

KIRAN BHASKAR KHANOLKAR MD

Original Issue Date

02/07/2019

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

KEOKUK

State

Zip

52632

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023