MYDHILI NANDANAN MOORTHIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

MYDHILI

Middle

NANDANAN

Last Name

MOORTHIE

Business Name

MYDHILI NANDANAN MOORTHIE MD

Original Issue Date

01/30/2012

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023