NIRAJ KISHORBHAI MAVANI 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

NIRAJ

Middle

KISHORBHAI

Last Name

MAVANI

Business Name

NIRAJ KISHORBHAI MAVANI MD

Original Issue Date

10/17/2017

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023