SHAMIK BHARAT TRIVEDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

SHAMIK

Middle

BHARAT

Last Name

TRIVEDI

Suffix

Business Name

SHAMIK BHARAT TRIVEDI MD

Original Issue Date

07/03/2012

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023