PACHALLA K BHAT MD 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

PACHALLA K

Last Name

BHAT

Suffix

Business Name

PACHALLA K BHAT MD

Original Issue Date

01/01/1997

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021