RAJA KUMARI VAIDADI 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

RAJA

Middle

KUMARI

Last Name

VAIDADI

Business Name

RAJA KUMARI VAIDADI MD

Original Issue Date

07/21/2015

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023