SAPAN SHARANKISHOR DESAI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

INACTIVE

Business

Title

First Name

SAPAN

Middle

SHARANKISHOR

Last Name

DESAI

Business Name

SAPAN SHARANKISHOR DESAI MD

Original Issue Date

12/04/2013

Effective Date

05/20/2020

Expiration Date

07/31/2023

City

SOUTH BARRINGTON

State

Zip

60010

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2020