ABHISHEK VEDAVALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

ABHISHEK

Last Name

VEDAVALLI

Business Name

ABHISHEK VEDAVALLI MD

Original Issue Date

01/10/2012

Effective Date

05/09/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017