GURPAWAN S DHALIWAL 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

Title

First Name

GURPAWAN

Middle

Last Name

DHALIWAL

Business Name

GURPAWAN S DHALIWAL MD

Original Issue Date

12/13/2013

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021