SHAILENDER K BHATIA 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

SHAILENDER

Middle

Last Name

BHATIA

Suffix

Business Name

SHAILENDER K BHATIA MD

Original Issue Date

06/18/2012

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020