AMARESH VYDYANATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

AMARESH

Last Name

VYDYANATHAN

Business Name

AMARESH VYDYANATHAN MD

Original Issue Date

04/21/2010

Effective Date

04/21/2010

Expiration Date

07/31/2011

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011