KETAN NARANDAS JOBANPUTRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

KETAN

Middle

NARANDAS

Last Name

JOBANPUTRA

Suffix

Business Name

KETAN NARANDAS JOBANPUTRA MD

Original Issue Date

05/23/2000

Effective Date

06/19/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60440

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2023