SHIRISH VINAYAK BHATT 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

SHIRISH VINAYAK

Last Name

BHATT

Suffix

Business Name

SHIRISH VINAYAK BHATT MD

Original Issue Date

06/16/1997

Effective Date

06/16/1997

Expiration Date

07/31/2002

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006