NUTAN A ATRE-VAIDYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

NUTAN

Middle

Last Name

ATRE-VAIDYA

Suffix

Business Name

NUTAN A ATRE-VAIDYA MD

Original Issue Date

12/12/1985

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023