DHANANJAY DEODATTA BENDRE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

DHANANJAY

Middle

DEODATTA

Last Name

BENDRE

Suffix

Business Name

DHANANJAY DEODATTA BENDRE MD

Original Issue Date

05/29/2001

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014