RACHEL DEEPA YOHANNAN-ITTIARA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

RACHEL

Middle

DEEPA

Last Name

YOHANNAN-ITTIARA

Business Name

RACHEL DEEPA YOHANNAN-ITTIARA MD

Original Issue Date

03/16/2019

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023