MITUL M KANZARIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

MITUL

Middle

Last Name

KANZARIA

Business Name

MITUL M KANZARIA MD

Original Issue Date

04/24/2024

Effective Date

04/24/2024

Expiration Date

07/31/2026

City

PRINCETON

State

Zip

61356

County

BUREAU

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2024