CHETAN S PURANIK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

CHETAN S

Last Name

PURANIK

Business Name

CHETAN S PURANIK

Original Issue Date

10/06/2004

Effective Date

09/15/2014

Expiration Date

07/31/2017

City

LAPORTE

State

Zip

46350

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017