DIVYANG R JOSHI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

DIVYANG

Middle

Last Name

JOSHI

Business Name

DIVYANG R JOSHI

Original Issue Date

11/08/2011

Effective Date

11/08/2011

Expiration Date

07/31/2014

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020