NITESH UPADHYAY 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

Title

First Name

NITESH

Last Name

UPADHYAY

Business Name

NITESH UPADHYAY MD

Original Issue Date

05/31/2012

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021