NISHA CHANDRAKANT DESAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

NISHA

Middle

CHANDRAKANT

Last Name

DESAI

Business Name

NISHA CHANDRAKANT DESAI MD

Original Issue Date

06/05/2013

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023