KAVITHA SRINIVASAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

KAVITHA

Last Name

SRINIVASAN

Suffix

Business Name

KAVITHA SRINIVASAN MD

Original Issue Date

03/07/2005

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

LINCOLNSHIRE

State

Zip

60069

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023