VIVEKANAND TIWARI 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

Title

First Name

VIVEKANAND

Last Name

TIWARI

Business Name

VIVEKANAND TIWARI MD

Original Issue Date

06/16/2014

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021