JASON HASMUKH GHODASRA 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

JASON

Middle

HASMUKH

Last Name

GHODASRA

Business Name

JASON HASMUKH GHODASRA MD

Original Issue Date

07/15/2019

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023