ANJANA L DWIVEDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

ANJANA

Middle

Last Name

DWIVEDI

Business Name

ANJANA L DWIVEDI MD

Original Issue Date

06/25/2015

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023