SUBODH C DESAI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

CANCELLED

Business

First Name

SUBODH C

Last Name

DESAI

Suffix

Business Name

SUBODH C DESAI MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008