RENUKA N DESAI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

INACTIVE

Business

First Name

RENUKA N

Last Name

DESAI

Suffix

Business Name

RENUKA N DESAI MD

Original Issue Date

09/02/1982

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023