PAVAN KUMAR SRIVASTAVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125749

License Status

ACTIVE

Business

Title

First Name

PAVAN

Middle

KUMAR

Last Name

SRIVASTAVA

Business Name

PAVAN KUMAR SRIVASTAVA MD

Original Issue Date

05/13/2010

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/30/2023