JINU PRAVIN KAMDAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

JINU

Middle

PRAVIN

Last Name

KAMDAR

Suffix

Business Name

JINU PRAVIN KAMDAR MD

Original Issue Date

09/16/2005

Effective Date

09/16/2005

Expiration Date

07/31/2008

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011