PINAKIN GOKULBHAI BHAKTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

CANCELLED

Business

First Name

PINAKIN

Middle

GOKULBHAI

Last Name

BHAKTA

Suffix

Business Name

PINAKIN GOKULBHAI BHAKTA MD

Original Issue Date

04/20/1999

Effective Date

04/20/1999

Expiration Date

07/31/2002

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006