KUNJAN SATISHKUMAR BHAKTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

KUNJAN

Middle

SATISHKUMAR

Last Name

BHAKTA

Business Name

KUNJAN SATISHKUMAR BHAKTA MD

Original Issue Date

08/27/2021

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023