MITA SANGHAVI GOEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

MITA

Middle

SANGHAVI

Last Name

GOEL

Suffix

Business Name

MITA SANGHAVI GOEL MD

Original Issue Date

08/02/2004

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023