MUKESH BATUBHAI DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

Title

First Name

MUKESH

Middle

BATUBHAI

Last Name

DESAI

Business Name

MUKESH BATUBHAI DESAI MD

Original Issue Date

10/31/2007

Effective Date

06/19/2008

Expiration Date

07/31/2011

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011