ANJALI T PANT Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

CANCELLED

Business

First Name

ANJALI

Middle

Last Name

PANT

Business Name

ANJALI T PANT

Original Issue Date

04/06/2004

Effective Date

04/06/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006