VIJAYKUMAR RAYCH PHADE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

VIJAYKUMAR RAYCH

Last Name

PHADE

Suffix

Business Name

VIJAYKUMAR RAYCH PHADE MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006