VASUNDHARA VIDYARTHI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

VASUNDHARA

Last Name

VIDYARTHI

Business Name

VASUNDHARA VIDYARTHI

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

07/31/2005

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006