NILESH J GOSWAMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

NILESH J

Last Name

GOSWAMI

Suffix

Business Name

NILESH J GOSWAMI MD

Original Issue Date

07/11/2003

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023