PAVAN KUMAR SRIVASTAVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

PAVAN

Middle

KUMAR

Last Name

SRIVASTAVA

Business Name

PAVAN KUMAR SRIVASTAVA MD

Original Issue Date

05/13/2010

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023