PETER ANTHONY CARAVELLA 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

PETER

Middle

ANTHONY

Last Name

CARAVELLA

Business Name

PETER ANTHONY CARAVELLA

Original Issue Date

01/23/2006

Effective Date

08/14/2008

Expiration Date

07/31/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011