PRAGNESHKUMAR MISTRY MD 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

Title

First Name

PRAGNESHKUMAR

Last Name

MISTRY

Business Name

PRAGNESHKUMAR MISTRY MD

Original Issue Date

10/27/2017

Effective Date

10/27/2017

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021