BHAKTI J DUDANI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

NOT RENEWED

Business

First Name

BHAKTI

Middle

Last Name

DUDANI

Prefix

Business Name

BHAKTI J DUDANI

Original Issue Date

05/12/2022

Effective Date

05/12/2022

Expiration Date

03/01/2024

City

MILWAUKEE

State

Zip

53202

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025