HEMANT K HEGDE 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

First Name

HEMANT K

Last Name

HEGDE

Business Name

HEMANT K HEGDE

Original Issue Date

12/21/1994

Effective Date

12/21/1994

Expiration Date

07/31/2005

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006