MANISH I KOYAWALA 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

MANISH I

Last Name

KOYAWALA

Suffix

Business Name

MANISH I KOYAWALA MD

Original Issue Date

03/28/1991

Effective Date

03/28/1991

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006