POONAM GHANSHYAM MERAI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

POONAM

Middle

GHANSHYAM

Last Name

MERAI

Business Name

POONAM GHANSHYAM MERAI

Original Issue Date

08/04/2014

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023