SRIVASA BHUSHAN CHEBROLU 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

First Name

SRIVASA

Middle

BHUSHAN

Last Name

CHEBROLU

Suffix

Business Name

SRIVASA BHUSHAN CHEBROLU MD

Original Issue Date

07/21/2000

Effective Date

07/21/2000

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008