BHARAT KANTILAL KOTADIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

BHARAT KANTILAL

Last Name

KOTADIA

Suffix

Business Name

BHARAT KANTILAL KOTADIA MD

Original Issue Date

05/20/2023

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023