PRASHANT GANESH DESHPANDE 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

First Name

PRASHANT

Middle

GANESH

Last Name

DESHPANDE

Suffix

Business Name

PRASHANT GANESH DESHPANDE MD

Original Issue Date

08/04/1997

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023