PETER JOHN THADANI 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

Title

First Name

PETER JOHN

Last Name

THADANI

Business Name

PETER JOHN THADANI MD

Original Issue Date

09/16/2009

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020