VEDANG JASHVANTLAL BHAVSAR 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

VEDANG

Middle

JASHVANTLAL

Last Name

BHAVSAR

Business Name

VEDANG JASHVANTLAL BHAVSAR MD

Original Issue Date

03/07/2017

Effective Date

03/07/2017

Expiration Date

07/31/2017

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017