LAVANYA SRINIVASAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

LAVANYA

Last Name

SRINIVASAN

Suffix

Business Name

LAVANYA SRINIVASAN MD

Original Issue Date

05/23/2007

Effective Date

08/20/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020