BHASKAR N SRIPADA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

BHASKAR N

Last Name

SRIPADA

Business Name

BHASKAR N SRIPADA

Original Issue Date

06/09/2017

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60621

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023