PITAMBER PERSAUD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

PITAMBER

Last Name

PERSAUD

Suffix

Business Name

PITAMBER PERSAUD MD

Original Issue Date

08/31/2000

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

ROCHELLE

State

Zip

61068

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023