KANTA R DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

KANTA R

Last Name

DESAI

Suffix

Business Name

KANTA R DESAI MD

Original Issue Date

11/30/1992

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

HARRISBURG

State

Zip

62946

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014