ANJALI SUHASH KHERDEKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

ANJALI

Middle

SUHASH

Last Name

KHERDEKAR

Suffix

Business Name

ANJALI SUHASH KHERDEKAR MD

Original Issue Date

03/16/2019

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

UNIVERSITY CITY

State

Zip

63130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2023