DIVYA KARJALA-CHAKKARAVARTHY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

DIVYA

Last Name

KARJALA-CHAKKARAVARTHY

Suffix

Business Name

DIVYA KARJALA-CHAKKARAVARTHY MD

Original Issue Date

12/23/2016

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023