RAVI PRAKASH KAZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

RAVI

Middle

PRAKASH

Last Name

KAZA

Suffix

Business Name

RAVI PRAKASH KAZA MD

Original Issue Date

09/05/2000

Effective Date

09/05/2000

Expiration Date

07/31/2002

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006