MOHAN G PHATAK 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

First Name

MOHAN G

Last Name

PHATAK

Suffix

Business Name

MOHAN G PHATAK MD

Original Issue Date

08/13/1987

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014