P KANTILAL DAVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

P KANTILAL

Last Name

DAVE

Suffix

Business Name

P KANTILAL DAVE MD

Original Issue Date

07/06/1990

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017