PARAG R PANCHAL 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

PARAG R

Last Name

PANCHAL

Suffix

Business Name

PARAG R PANCHAL MD

Original Issue Date

07/11/1994

Effective Date

07/11/1994

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011