PRASHANT GANESH DESHPANDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

PRASHANT

Middle

GANESH

Last Name

DESHPANDE

Suffix

Business Name

PRASHANT GANESH DESHPANDE MD

Original Issue Date

07/21/1997

Effective Date

07/21/1997

Expiration Date

07/31/1999

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020