ANJALI DESAI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

ANJALI

Last Name

DESAI

Business Name

ANJALI DESAI DO

Original Issue Date

10/07/2024

Effective Date

10/07/2024

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/07/2024