NISHANT PODDAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

NISHANT

Last Name

PODDAR

Business Name

NISHANT PODDAR MD

Original Issue Date

02/09/2019

Effective Date

02/09/2019

Expiration Date

09/30/2020

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021