VIVEK PRATAP PADHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

VIVEK

Middle

PRATAP

Last Name

PADHA

Suffix

Business Name

VIVEK PRATAP PADHA MD

Original Issue Date

12/17/1999

Effective Date

12/17/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006