SHAILAJA POTDAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

SHAILAJA

Last Name

POTDAR

Business Name

SHAILAJA POTDAR MD

Original Issue Date

10/05/2022

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

05/17/2023