PRANAVKUMAR K DALAL 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

PRANAVKUMAR

Middle

Last Name

DALAL

Suffix

Business Name

PRANAVKUMAR K DALAL MD

Original Issue Date

11/20/2006

Effective Date

05/21/2013

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014