ROOP REKHA SHIVPURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

ROOP REKHA

Last Name

SHIVPURI

Suffix

Business Name

ROOP REKHA SHIVPURI MD

Original Issue Date

01/01/1997

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017