BHADRESHKUMAR R MANDANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

BHADRESHKUMAR

Middle

Last Name

MANDANI

Prefix

Business Name

BHADRESHKUMAR R MANDANI MD

Original Issue Date

03/22/2016

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023