APURVA A DESAI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

APURVA

Middle

Last Name

DESAI

Business Name

APURVA A DESAI

Original Issue Date

09/14/2010

Effective Date

05/03/2011

Expiration Date

07/31/2014

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020