SHOBHANA RAVIKUMAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

SHOBHANA

Last Name

RAVIKUMAR

Suffix

Business Name

SHOBHANA RAVIKUMAR MD

Original Issue Date

07/12/2000

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60490

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023