KAMLESH S MACWAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

KAMLESH S

Last Name

MACWAN

Suffix

Business Name

KAMLESH S MACWAN MD

Original Issue Date

04/10/1991

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023