PANKAJ GOYAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

PANKAJ

Last Name

GOYAL

Business Name

PANKAJ GOYAL MD

Original Issue Date

12/06/2021

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023