KISHORE GOPINATH PATHIAL 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

KISHORE GOPINATH

Last Name

PATHIAL

Business Name

KISHORE GOPINATH PATHIAL

Original Issue Date

09/21/1987

Effective Date

09/21/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006