KEDAR ARVIND KAKODKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

KEDAR

Middle

ARVIND

Last Name

KAKODKAR

Business Name

KEDAR ARVIND KAKODKAR MD

Original Issue Date

06/26/2012

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

BOURBONNAIS

State

Zip

60914

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021