TWINKAL PRANAVKUMAR DALAL 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

TWINKAL

Middle

PRANAVKUMAR

Last Name

DALAL

Business Name

TWINKAL PRANAVKUMAR DALAL MD

Original Issue Date

09/24/2009

Effective Date

09/05/2012

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014