KANDAVAR M GOPAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

KANDAVAR

Middle

Last Name

GOPAL

Suffix

Business Name

KANDAVAR M GOPAL MD

Original Issue Date

03/26/1996

Effective Date

03/26/1996

Expiration Date

07/31/1996

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011