NILESH J GOSWAMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

NILESH J

Last Name

GOSWAMI

Suffix

Business Name

NILESH J GOSWAMI MD

Original Issue Date

09/02/1997

Effective Date

09/02/1997

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020