MEHER B MEDAVARAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

MEHER B

Last Name

MEDAVARAM

Suffix

Business Name

MEHER B MEDAVARAM MD

Original Issue Date

05/20/1986

Effective Date

05/20/1986

Expiration Date

07/31/1999

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020