KINJAL DHAIR YAKUMAR DAVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

KINJAL

Middle

DHAIR YAKUMAR

Last Name

DAVE

Business Name

KINJAL DHAIR YAKUMAR DAVE MD

Original Issue Date

08/06/2013

Effective Date

08/06/2013

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014