DINA R DESAI 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

DINA R

Last Name

DESAI

Suffix

Business Name

DINA R DESAI MD

Original Issue Date

09/21/1992

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020