RUPAL MANGESH POTNIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

RUPAL

Middle

MANGESH

Last Name

POTNIS

Suffix

Business Name

RUPAL MANGESH POTNIS MD

Original Issue Date

10/29/2001

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023