MANDAR ABHAY PATTEKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

MANDAR

Middle

ABHAY

Last Name

PATTEKAR

Suffix

Business Name

MANDAR ABHAY PATTEKAR MD

Original Issue Date

06/03/2003

Effective Date

09/02/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/30/2023