VATHSALA T RAGHAVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

VATHSALA T

Last Name

RAGHAVAN

Suffix

Business Name

VATHSALA T RAGHAVAN MD

Original Issue Date

01/01/1997

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023