ANUPAMA S RAVIKANTH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

ANUPAMA

Middle

Last Name

RAVIKANTH

Business Name

ANUPAMA S RAVIKANTH

Original Issue Date

06/17/1999

Effective Date

06/17/1999

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006