HETAL KANAIYALAL BRAHMBHATT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

HETAL

Middle

KANAIYALAL

Last Name

BRAHMBHATT

Business Name

HETAL KANAIYALAL BRAHMBHATT MD

Original Issue Date

02/17/2021

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

MOUNT LAUREL

State

Zip

08054

County

NEW JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023