ANITA DIWAKAR MULYE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

ANITA

Middle

DIWAKAR

Last Name

MULYE

Business Name

ANITA DIWAKAR MULYE MD

Original Issue Date

08/08/2016

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2024