AJAY M KOTHARI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

CANCELLED

Business

First Name

AJAY M

Last Name

KOTHARI

Suffix

Business Name

AJAY M KOTHARI MD

Original Issue Date

11/19/1984

Effective Date

11/19/1984

Expiration Date

07/31/1990

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006