SUMAN ASHOK BHAT 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

First Name

SUMAN ASHOK

Last Name

BHAT

Suffix

Business Name

SUMAN ASHOK BHAT MD

Original Issue Date

05/30/1984

Effective Date

05/30/1984

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006