SRAVAN KUMAR THANGEDA 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

SRAVAN

Middle

KUMAR

Last Name

THANGEDA

Business Name

SRAVAN KUMAR THANGEDA

Original Issue Date

12/14/2006

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017