TINA R DESAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

TINA R

Last Name

DESAI

Suffix

Business Name

TINA R DESAI MD

Original Issue Date

06/15/1999

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60174

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023