DEEPAK MALHOTRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

DEEPAK

Last Name

MALHOTRA

Suffix

Business Name

DEEPAK MALHOTRA MD

Original Issue Date

07/24/1992

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

GLENDALE HEIGHTS

State

Zip

60139

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021