KAVITA P DESHPANDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

KAVITA

Middle

Last Name

DESHPANDE

Business Name

KAVITA P DESHPANDE MD

Original Issue Date

08/26/2016

Effective Date

04/18/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021