SHRUTI ATUL FADIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

SHRUTI

Middle

ATUL

Last Name

FADIA

Business Name

SHRUTI ATUL FADIA MD

Original Issue Date

09/20/2016

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2024