VIJAY DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

VIJAY

Last Name

DESAI

Suffix

Business Name

VIJAY DESAI MD

Original Issue Date

05/08/2002

Effective Date

05/08/2002

Expiration Date

07/31/2005

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020