JAY SUBHASH DALAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

JAY

Middle

SUBHASH

Last Name

DALAL

Suffix

Business Name

JAY SUBHASH DALAL MD

Original Issue Date

08/30/2012

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60647

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021