RAVI KONDAVEETI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

RAVI

Last Name

KONDAVEETI

Suffix

Business Name

RAVI KONDAVEETI MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006