VIDYA S MANDIYAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

VIDYA

Middle

Last Name

MANDIYAN

Business Name

VIDYA S MANDIYAN MD

Original Issue Date

10/29/2013

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60502

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023