VIVEK VINOD DAVE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

VIVEK

Middle

VINOD

Last Name

DAVE

Business Name

VIVEK VINOD DAVE

Original Issue Date

02/09/2009

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023