ANJALI R GOPAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

ANJALI

Middle

Last Name

GOPAL

Business Name

ANJALI R GOPAL MD

Original Issue Date

11/10/2011

Effective Date

11/10/2011

Expiration Date

07/31/2014

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020