HEMLATA D BAKANE 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

HEMLATA D

Last Name

BAKANE

Business Name

HEMLATA D BAKANE

Original Issue Date

11/15/1994

Effective Date

06/19/2014

Expiration Date

07/31/2017

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017