MANAS UPADHYAYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

MANAS

Last Name

UPADHYAYA

Business Name

MANAS UPADHYAYA MD

Original Issue Date

08/24/2016

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023