AVINASH MANTHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

AVINASH

Last Name

MANTHA

Business Name

AVINASH MANTHA MD

Original Issue Date

08/24/2018

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023