ANKIT AJIT DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

ANKIT

Middle

AJIT

Last Name

DESAI

Suffix

Business Name

ANKIT AJIT DESAI MD

Original Issue Date

12/12/2006

Effective Date

12/12/2006

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011