RAKESH SHRIVASTAVA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

RAKESH

Last Name

SHRIVASTAVA

Business Name

RAKESH SHRIVASTAVA

Original Issue Date

05/23/2000

Effective Date

05/23/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006