KAVITA G GANGAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

KAVITA G

Last Name

GANGAR

Business Name

KAVITA G GANGAR

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

07/31/1999

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006