GHANSHYAM VITHAL MERAI 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

GHANSHYAM VITHAL

Last Name

MERAI

Suffix

Business Name

GHANSHYAM VITHAL MERAI MD

Original Issue Date

01/01/1997

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017