PRATIBHA RASTOGI MD 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

PRATIBHA

Last Name

RASTOGI

Suffix

Business Name

PRATIBHA RASTOGI MD

Original Issue Date

06/17/2019

Effective Date

06/17/2019

Expiration Date

09/30/2020

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021