ANDREW V MAHTANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

Last Name

MAHTANI

Business Name

ANDREW V MAHTANI MD

Original Issue Date

07/26/2010

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

OFALLON

State

Zip

62269

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023