KETAN C VYAS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

KETAN C

Last Name

VYAS

Business Name

KETAN C VYAS

Original Issue Date

08/21/1995

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

GRAYVILLE

State

Zip

62844

County

WHITE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021