USHABEN GANDAJI CHAVDA 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

USHABEN

Middle

GANDAJI

Last Name

CHAVDA

Suffix

Business Name

USHABEN GANDAJI CHAVDA MD

Original Issue Date

12/17/2002

Effective Date

12/17/2002

Expiration Date

07/31/2005

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020