DOCTOR PUSHPANSHU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

DOCTOR

Last Name

PUSHPANSHU

Business Name

DOCTOR PUSHPANSHU

Original Issue Date

05/19/1997

Effective Date

05/19/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006