AMIR F KAGALWALLA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

AMIR

Middle

Last Name

KAGALWALLA

Business Name

AMIR F KAGALWALLA

Original Issue Date

04/01/1996

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023