MEENAKSHI K BHOLA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

CANCELLED

Business

First Name

MEENAKSHI

Middle

Last Name

BHOLA

Business Name

MEENAKSHI K BHOLA

Original Issue Date

11/19/2002

Effective Date

11/19/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006