NILESH S BAVISHI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

NILESH S

Last Name

BAVISHI

Business Name

NILESH S BAVISHI

Original Issue Date

01/12/1990

Effective Date

01/12/1990

Expiration Date

07/31/1999

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006