JAYANTI REDDY BAHEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

JAYANTI

Middle

REDDY

Last Name

BAHEL

Business Name

JAYANTI REDDY BAHEL

Original Issue Date

08/14/2001

Effective Date

06/19/2014

Expiration Date

07/31/2017

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020