PRASHANT S KOTHARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

PRASHANT

Middle

Last Name

KOTHARI

Business Name

PRASHANT S KOTHARI MD

Original Issue Date

03/28/2016

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

BOLINGBROOK

State

Zip

60490

County

OHIO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021