VIVEK MISHRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

VIVEK

Last Name

MISHRA

Suffix

Business Name

VIVEK MISHRA MD

Original Issue Date

08/19/2003

Effective Date

08/19/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020