VIDHYALAKSHMY VIVEK 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

VIDHYALAKSHMY

Last Name

VIVEK

Business Name

VIDHYALAKSHMY VIVEK MD

Original Issue Date

09/19/2019

Effective Date

09/19/2019

Expiration Date

09/30/2020

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021