PANKAJ KUMAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

PANKAJ

Last Name

KUMAR

Business Name

PANKAJ KUMAR MD

Original Issue Date

08/04/2015

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023