SAMEER BIPIN BAVISHI 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

SAMEER

Middle

BIPIN

Last Name

BAVISHI

Suffix

Business Name

SAMEER BIPIN BAVISHI MD

Original Issue Date

03/26/2007

Effective Date

03/26/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011