NISHANT PODDAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

NISHANT

Last Name

PODDAR

Business Name

NISHANT PODDAR MD

Original Issue Date

11/05/2018

Effective Date

11/05/2018

Expiration Date

09/30/2020

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021