MANAN CHETAN TRIVEDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

MANAN

Middle

CHETAN

Last Name

TRIVEDI

Business Name

MANAN CHETAN TRIVEDI MD

Original Issue Date

09/04/2019

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023