SRINIVAS R RAVANAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

SRINIVAS

Middle

Last Name

RAVANAM

Suffix

Business Name

SRINIVAS R RAVANAM MD

Original Issue Date

10/08/2003

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

EAST DUNDEE

State

Zip

60118

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021