NISARG RAJENDRA DESAI 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

Title

First Name

NISARG

Middle

RAJENDRA

Last Name

DESAI

Business Name

NISARG RAJENDRA DESAI MD

Original Issue Date

06/17/2014

Effective Date

06/17/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017