AMAR MAHENDRAKANT PANCHAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

AMAR

Middle

MAHENDRAKANT

Last Name

PANCHAL

Business Name

AMAR MAHENDRAKANT PANCHAL MD

Original Issue Date

12/03/2013

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017