VIDHYA DEVI SRINIVASAN ILLURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

VIDHYA

Middle

DEVI SRINIVASAN

Last Name

ILLURI

Business Name

VIDHYA DEVI SRINIVASAN ILLURI MD

Original Issue Date

05/08/2013

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017