AMY PHIROZ DARUKHANAVALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

AMY

Middle

PHIROZ

Last Name

DARUKHANAVALA

Suffix

Business Name

AMY PHIROZ DARUKHANAVALA MD

Original Issue Date

09/26/2008

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014