MANDAVI M KULKARNI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

MANDAVI

Middle

Last Name

KULKARNI

Business Name

MANDAVI M KULKARNI

Original Issue Date

06/28/2005

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023