ROSHNI VASAIWALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

ROSHNI

Last Name

VASAIWALA

Business Name

ROSHNI VASAIWALA MD

Original Issue Date

07/19/2011

Effective Date

07/19/2011

Expiration Date

07/31/2014

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020