MAULIK BALMUKUND SHETH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

MAULIK

Middle

BALMUKUND

Last Name

SHETH

Business Name

MAULIK BALMUKUND SHETH MD

Original Issue Date

08/28/2017

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023