BALAMOORTI N GAONKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

BALAMOORTI

Middle

Last Name

GAONKAR

Suffix

Business Name

BALAMOORTI N GAONKAR MD

Original Issue Date

12/05/2001

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023