VINAYA VARDHAN R KEESARA 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

First Name

VINAYA VARDHAN R

Last Name

KEESARA

Suffix

Business Name

VINAYA VARDHAN R KEESARA MD

Original Issue Date

09/19/1983

Effective Date

09/19/1983

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006