BIPIN B BAVISHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

BIPIN

Middle

Last Name

BAVISHI

Suffix

Business Name

BIPIN B BAVISHI MD

Original Issue Date

06/28/2012

Effective Date

08/14/2017

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/14/2021