CHITRA S MADHAVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

CHITRA S

Last Name

MADHAVAN

Suffix

Business Name

CHITRA S MADHAVAN MD

Original Issue Date

04/23/2009

Effective Date

09/24/2014

Expiration Date

07/31/2017

City

LANSING

State

Zip

60438

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020