PRERANA M PANCHAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

PRERANA M

Last Name

PANCHAL

Suffix

Business Name

PRERANA M PANCHAL MD

Original Issue Date

11/03/1989

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

BARRINGTON HILLS

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023