CHIRAG R PANCHAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

CANCELLED

Business

First Name

CHIRAG R

Last Name

PANCHAL

Suffix

Business Name

CHIRAG R PANCHAL MD

Original Issue Date

06/19/2000

Effective Date

06/19/2000

Expiration Date

07/31/2008

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006