KOHILAVANI VELAYUDAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

KOHILAVANI

Last Name

VELAYUDAM

Business Name

KOHILAVANI VELAYUDAM

Original Issue Date

03/07/2005

Effective Date

03/07/2005

Expiration Date

07/31/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011