JAGAN K KANSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

JAGAN

Middle

Last Name

KANSAL

Business Name

JAGAN K KANSAL MD

Original Issue Date

06/02/2020

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023