NISTHA ASHWIN RAWAL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

NISTHA

Middle

ASHWIN

Last Name

RAWAL

Business Name

NISTHA ASHWIN RAWAL DO

Original Issue Date

08/01/2023

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

LAKE BARRINGTON

State

Zip

60010

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023