MINI VAISHNAVI HARIHARAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

MINI

Middle

VAISHNAVI

Last Name

HARIHARAN

Business Name

MINI VAISHNAVI HARIHARAN MD

Original Issue Date

03/08/2018

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023