HEMLATA P VAIDYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

HEMLATA P

Last Name

VAIDYA

Suffix

Business Name

HEMLATA P VAIDYA MD

Original Issue Date

06/03/1998

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

CICERO

State

Zip

60804

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021