JITENDRAKUMAR D SODVADIYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

JITENDRAKUMAR

Middle

Last Name

SODVADIYA

Business Name

JITENDRAKUMAR D SODVADIYA MD

Original Issue Date

06/16/2014

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

PARIS

State

Zip

61944

County

EDGAR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023