ANJALI SUHASH KHERDEKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

ANJALI

Middle

SUHASH

Last Name

KHERDEKAR

Suffix

Business Name

ANJALI SUHASH KHERDEKAR MD

Original Issue Date

11/10/1999

Effective Date

11/10/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020