RAVINDER R MANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

RAVINDER

Middle

Last Name

MANDA

Suffix

Business Name

RAVINDER R MANDA MD

Original Issue Date

11/05/1999

Effective Date

11/05/1999

Expiration Date

07/31/2005

City

NORTH CHICAGO

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006