CHINTAN DHIREN MISTRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

CHINTAN

Middle

DHIREN

Last Name

MISTRY

Suffix

Business Name

CHINTAN DHIREN MISTRY MD

Original Issue Date

09/20/2017

Effective Date

09/20/2017

Expiration Date

09/30/2020

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021