SURESH K DIDWANIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

SURESH K

Last Name

DIDWANIA

Suffix

Business Name

SURESH K DIDWANIA MD

Original Issue Date

07/10/1996

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023