BENALI GIRISH DESHPANDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

BENALI

Middle

GIRISH

Last Name

DESHPANDE

Suffix

Business Name

BENALI GIRISH DESHPANDE MD

Original Issue Date

07/03/2007

Effective Date

07/03/2007

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020