MAYANK MATHUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

MAYANK

Last Name

MATHUR

Business Name

MAYANK MATHUR MD

Original Issue Date

09/16/2014

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

RESTON

State

Zip

20190

County

VIRGINIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021