ASHOK BALWANT PHADKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

ASHOK BALWANT

Last Name

PHADKE

Suffix

Business Name

ASHOK BALWANT PHADKE MD

Original Issue Date

08/19/1996

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

LINDENHURST

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023