CHANDRAGUPTA S VEDAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

CHANDRAGUPTA

Middle

Last Name

VEDAK

Suffix

Business Name

CHANDRAGUPTA S VEDAK MD

Original Issue Date

05/08/1985

Effective Date

05/08/1985

Expiration Date

07/31/2002

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020