AJIT K TIWARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

AJIT

Middle

Last Name

TIWARI

Suffix

Business Name

AJIT K TIWARI MD

Original Issue Date

09/18/2007

Effective Date

09/18/2007

Expiration Date

07/31/2008

City

SYCAMORE

State

Zip

60178

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008