VANDITA SAXENA SAMAVEDI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

VANDITA SAXENA

Last Name

SAMAVEDI

Business Name

VANDITA SAXENA SAMAVEDI

Original Issue Date

06/09/1998

Effective Date

06/09/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006