PRASHANT GANESH DESHPANDE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

CANCELLED

Business

First Name

PRASHANT

Middle

GANESH

Last Name

DESHPANDE

Suffix

Business Name

PRASHANT GANESH DESHPANDE MD

Original Issue Date

01/29/1997

Effective Date

01/29/1997

Expiration Date

07/31/1999

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020