KABEKODE OMKAR BHAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

KABEKODE

Middle

OMKAR

Last Name

BHAT

Business Name

KABEKODE OMKAR BHAT MD

Original Issue Date

09/23/2021

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023