BHAVANA P VAIDYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

BHAVANA P

Last Name

VAIDYA

Suffix

Business Name

BHAVANA P VAIDYA MD

Original Issue Date

05/10/1983

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023