DEEPAK NATHANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

DEEPAK

Last Name

NATHANI

Suffix

Business Name

DEEPAK NATHANI MD

Original Issue Date

06/09/1986

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

MENDOTA

State

Zip

61342

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020