LISE A GUAY-BHATIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

CANCELLED

Business

First Name

LISE

Middle

Last Name

GUAY-BHATIA

Suffix

Business Name

LISE A GUAY-BHATIA MD

Original Issue Date

06/22/1990

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020