AMAR SHAKTI BHARDWAJ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

AMAR

Middle

SHAKTI

Last Name

BHARDWAJ

Business Name

AMAR SHAKTI BHARDWAJ MD

Original Issue Date

09/08/2015

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023