MANISH D BRAHMBHATT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

MANISH D

Last Name

BRAHMBHATT

Business Name

MANISH D BRAHMBHATT

Original Issue Date

10/06/1993

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

ADDISON

State

Zip

60101

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023