AJEET DHAYA GORDHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

AJEET

Middle

DHAYA

Last Name

GORDHAN

Suffix

Business Name

AJEET DHAYA GORDHAN MD

Original Issue Date

06/28/2004

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61702

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023