DAKSHA TRIBHUVAN BHANSALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

DAKSHA TRIBHUVAN

Last Name

BHANSALI

Suffix

Business Name

DAKSHA TRIBHUVAN BHANSALI MD

Original Issue Date

05/16/1984

Effective Date

05/16/1984

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006