ASHWINI ASHOKKUMAR PERURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

ASHWINI

Middle

ASHOKKUMAR

Last Name

PERURI

Business Name

ASHWINI ASHOKKUMAR PERURI MD

Original Issue Date

05/10/2013

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017