PRAVIN RATILAL GANDHY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

CANCELLED

Business

First Name

PRAVIN RATILAL

Last Name

GANDHY

Suffix

Business Name

PRAVIN RATILAL GANDHY MD

Original Issue Date

04/29/1992

Effective Date

04/29/1992

Expiration Date

07/31/2005

City

CENTRALIA

State

Zip

62801

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006