SREENIVASA P VANGARA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

SREENIVASA P

Last Name

VANGARA

Business Name

SREENIVASA P VANGARA

Original Issue Date

06/27/1994

Effective Date

06/27/1994

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006