AJEET DHAYA GORDHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

AJEET

Middle

DHAYA

Last Name

GORDHAN

Suffix

Business Name

AJEET DHAYA GORDHAN MD

Original Issue Date

10/02/2003

Effective Date

10/02/2003

Expiration Date

07/31/2008

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020