VISHAL KUMAR DIDWANIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

VISHAL

Middle

KUMAR

Last Name

DIDWANIA

Business Name

VISHAL KUMAR DIDWANIA MD

Original Issue Date

04/19/2012

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023