SHIVANI JITENDRA DESAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

SHIVANI

Middle

JITENDRA

Last Name

DESAI

Suffix

Business Name

SHIVANI JITENDRA DESAI MD

Original Issue Date

04/12/2010

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

SOUTH CAROLINA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023