MITUL S DESAI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

MITUL

Middle

Last Name

DESAI

Business Name

MITUL S DESAI

Original Issue Date

04/11/2003

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

DEER PARK

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023