HIRENKUMAR D ITALIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

HIRENKUMAR

Middle

Last Name

ITALIA

Business Name

HIRENKUMAR D ITALIA MD

Original Issue Date

06/19/2012

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

WAXHAW

State

Zip

28173

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023