PETER JOHN THADANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

PETER JOHN

Last Name

THADANI

Business Name

PETER JOHN THADANI MD

Original Issue Date

05/30/2023

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023