KALYANA CHAKRAVARTHI LAVU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

KALYANA

Middle

CHAKRAVARTHI

Last Name

LAVU

Suffix

Business Name

KALYANA CHAKRAVARTHI LAVU MD

Original Issue Date

06/10/1999

Effective Date

06/10/1999

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006