PIYUSH ICHHASHAN VYAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

PIYUSH

Middle

ICHHASHAN

Last Name

VYAS

Suffix

Business Name

PIYUSH ICHHASHAN VYAS MD

Original Issue Date

04/12/1990

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023