PREMAL BHUPESH DESAI 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

PREMAL

Middle

BHUPESH

Last Name

DESAI

Business Name

PREMAL BHUPESH DESAI MD

Original Issue Date

11/07/2025

Effective Date

11/07/2025

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/07/2025