SACHIN VIJAYKUMAR PHADE 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

First Name

SACHIN

Middle

VIJAYKUMAR

Last Name

PHADE

Suffix

Business Name

SACHIN VIJAYKUMAR PHADE MD

Original Issue Date

01/08/2009

Effective Date

01/08/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020