KUMUDINI M VAIDYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

KUMUDINI M

Last Name

VAIDYA

Suffix

Business Name

KUMUDINI M VAIDYA MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006