MAITRAYEE S VADALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

MAITRAYEE

Middle

Last Name

VADALI

Suffix

Business Name

MAITRAYEE S VADALI MD

Original Issue Date

11/18/2002

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023