PRAVIR VIRAL BAXI 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

Title

First Name

PRAVIR

Middle

VIRAL

Last Name

BAXI

Business Name

PRAVIR VIRAL BAXI MD

Original Issue Date

06/05/2014

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/13/2024