RACHEL W VIDAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

RACHEL

Middle

Last Name

VIDAL

Business Name

RACHEL W VIDAL MD

Original Issue Date

07/15/2022

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

COLUMBIA

State

Zip

29205

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023