MALAVIKA A VIDWANS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134336

License Status

ACTIVE

Business

Title

First Name

MALAVIKA

Middle

Last Name

VIDWANS

Business Name

MALAVIKA A VIDWANS MD

Original Issue Date

12/19/2013

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

FARMINGTON

State

Zip

06032

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

05/24/2023