MAYURIKA NARAYAN PISE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

MAYURIKA

Middle

NARAYAN

Last Name

PISE

Business Name

MAYURIKA NARAYAN PISE MD

Original Issue Date

06/03/2019

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023