HEMANTH KUMAR GAVINI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

HEMANTH

Middle

KUMAR

Last Name

GAVINI

Business Name

HEMANTH KUMAR GAVINI

Original Issue Date

12/02/2005

Effective Date

12/02/2005

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008