MASTIAN GIOVANNI VINAYAK CHAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

MASTIAN GIOVANNI

Middle

VINAYAK

Last Name

CHAND

Business Name

MASTIAN GIOVANNI VINAYAK CHAND MD

Original Issue Date

06/11/2015

Effective Date

06/11/2015

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017