PURVI JITENDRA KAPADIA-JETHVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

PURVI

Middle

JITENDRA

Last Name

KAPADIA-JETHVA

Business Name

PURVI JITENDRA KAPADIA-JETHVA MD

Original Issue Date

06/18/2014

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021