VIVEK KUMAR MANCHANDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

VIVEK

Middle

KUMAR

Last Name

MANCHANDA

Business Name

VIVEK KUMAR MANCHANDA MD

Original Issue Date

08/26/2014

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

RED BUD

State

Zip

62278

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023