NIRMAL KISHIN SURTANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

NIRMAL KISHIN

Last Name

SURTANI

Suffix

Business Name

NIRMAL KISHIN SURTANI MD

Original Issue Date

08/15/1996

Effective Date

08/15/1996

Expiration Date

07/31/1999

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006