RAJIV RAMESH RATHOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

RAJIV

Middle

RAMESH

Last Name

RATHOD

Suffix

Business Name

RAJIV RAMESH RATHOD MD

Original Issue Date

05/12/2010

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014