KIRTIDA GURJAR KUMAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

KIRTIDA

Last Name

GURJAR KUMAR

Business Name

KIRTIDA GURJAR KUMAR

Original Issue Date

09/23/1988

Effective Date

09/23/1988

Expiration Date

07/31/2005

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006