CHINTAN J AMIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

CANCELLED

Business

First Name

CHINTAN

Middle

Last Name

AMIN

Suffix

Business Name

CHINTAN J AMIN MD

Original Issue Date

06/19/2007

Effective Date

06/09/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011