BAKUL KANTILAL PANDYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

BAKUL

Middle

KANTILAL

Last Name

PANDYA

Suffix

Business Name

BAKUL KANTILAL PANDYA MD

Original Issue Date

01/01/1997

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017