MRUDULA SUBODH DESAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

MRUDULA SUBODH

Last Name

DESAI

Suffix

Business Name

MRUDULA SUBODH DESAI MD

Original Issue Date

01/01/1997

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017