CHARMI VIJAY DESAI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

CHARMI

Middle

VIJAY

Last Name

DESAI

Business Name

CHARMI VIJAY DESAI DO

Original Issue Date

06/01/2022

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/04/2024