PANNA U GOSWAMI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

PANNA U

Last Name

GOSWAMI

Business Name

PANNA U GOSWAMI

Original Issue Date

09/24/1982

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023