PRATIKSHA JIGNESH TRIVEDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

PRATIKSHA

Middle

JIGNESH

Last Name

TRIVEDI

Business Name

PRATIKSHA JIGNESH TRIVEDI MD

Original Issue Date

01/04/2012

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023