VIDHAN SRIVASTAVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165105

License Status

ACTIVE

Business

Title

First Name

VIDHAN

Last Name

SRIVASTAVA

Business Name

VIDHAN SRIVASTAVA MD

Original Issue Date

06/09/2023

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Ever Disciplined

LastModifiedDate

05/19/2023