SADASHIV DATTATRAYA PARWATIKAR 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

SADASHIV

Middle

DATTATRAYA

Last Name

PARWATIKAR

Suffix

Business Name

SADASHIV DATTATRAYA PARWATIKAR MD

Original Issue Date

08/13/1982

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017