SHANTHI R GOPI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

SHANTHI

Middle

Last Name

GOPI

Suffix

Business Name

SHANTHI R GOPI MD

Original Issue Date

10/16/1997

Effective Date

09/22/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60432

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2023