RUPAL NARENDRAKUMAR CHAVDA 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

First Name

RUPAL

Middle

NARENDRAKUMAR

Last Name

CHAVDA

Suffix

Business Name

RUPAL NARENDRAKUMAR CHAVDA MD

Original Issue Date

07/11/2014

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017