MANOHAR L JETHANI MD 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

MANOHAR

Middle

Last Name

JETHANI

Suffix

Business Name

MANOHAR L JETHANI MD

Original Issue Date

01/01/1997

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023