PARUL G PATHAK Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

INACTIVE

Business

First Name

PARUL

Middle

Last Name

PATHAK

Business Name

PARUL G PATHAK

Original Issue Date

02/19/2003

Effective Date

02/19/2003

Expiration Date

07/31/2008

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008