SHAILESH S NANDISH 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

SHAILESH

Middle

Last Name

NANDISH

Suffix

Business Name

SHAILESH S NANDISH MD

Original Issue Date

06/24/1999

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021