HARI P PATHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

HARI

Middle

Last Name

PATHI

Suffix

Business Name

HARI P PATHI MD

Original Issue Date

05/25/2007

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017