DEEPALI RASTOGI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

DEEPALI

Last Name

RASTOGI

Suffix

Business Name

DEEPALI RASTOGI MD

Original Issue Date

03/24/2004

Effective Date

03/24/2004

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017