TEJASI ARVIND GHOLAP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

TEJASI

Middle

ARVIND

Last Name

GHOLAP

Suffix

Business Name

TEJASI ARVIND GHOLAP MD

Original Issue Date

03/30/2010

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60175

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023