AJAY K GOPALKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

AJAY

Middle

Last Name

GOPALKA

Suffix

Business Name

AJAY K GOPALKA MD

Original Issue Date

11/23/1998

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023