PARESH JAYANTILAL MISTRY 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

PARESH

Middle

JAYANTILAL

Last Name

MISTRY

Suffix

Business Name

PARESH JAYANTILAL MISTRY MD

Original Issue Date

01/14/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020