DIPAK R DELVADIA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

CANCELLED

Business

First Name

DIPAK

Middle

Last Name

DELVADIA

Business Name

DIPAK R DELVADIA

Original Issue Date

09/27/1995

Effective Date

09/27/1995

Expiration Date

07/31/1999

City

SANDWICH

State

Zip

60548

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006