VIVEK KUMAR MANCHANDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

VIVEK

Middle

KUMAR

Last Name

MANCHANDA

Business Name

VIVEK KUMAR MANCHANDA MD

Original Issue Date

12/30/2015

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

VANDALIA

State

Zip

62471

County

FAYETTE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023