KAIZAN JEREER KALYANIWALLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

KAIZAN

Middle

JEREER

Last Name

KALYANIWALLA

Business Name

KAIZAN JEREER KALYANIWALLA DO

Original Issue Date

09/18/2019

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023