PETER JOHN THADANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

PETER JOHN

Last Name

THADANI

Business Name

PETER JOHN THADANI MD

Original Issue Date

07/24/2014

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023