RACHEL DEEPA YOHANNAN-ITTIARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

RACHEL

Middle

DEEPA

Last Name

YOHANNAN-ITTIARA

Business Name

RACHEL DEEPA YOHANNAN-ITTIARA MD

Original Issue Date

05/13/2013

Effective Date

06/17/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020