MANHARLAL KESHAVJI TANNA 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

MANHARLAL

Middle

KESHAVJI

Last Name

TANNA

Suffix

Business Name

MANHARLAL KESHAVJI TANNA MD

Original Issue Date

01/01/1997

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

PALATINE

State

Zip

60074

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020