GOKUL KRIS BYSANI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

GOKUL KRIS

Last Name

BYSANI

Business Name

GOKUL KRIS BYSANI

Original Issue Date

09/27/1984

Effective Date

09/27/1984

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011