BASHI BANDARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

BASHI

Last Name

BANDARI

Suffix

Business Name

BASHI BANDARI MD

Original Issue Date

07/08/1981

Effective Date

09/28/2018

Expiration Date

09/30/2020

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021