MUDRA JANI KAPOOR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

MUDRA

Middle

JANI

Last Name

KAPOOR

Business Name

MUDRA JANI KAPOOR

Original Issue Date

08/03/2005

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

ABBOTT PARK

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020