DIMPLE TEJWANI 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

Title

First Name

DIMPLE

Last Name

TEJWANI

Business Name

DIMPLE TEJWANI MD

Original Issue Date

12/23/2014

Effective Date

12/23/2014

Expiration Date

07/31/2017

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017