SHASHIDHAR DIVAKARUNI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

SHASHIDHAR

Last Name

DIVAKARUNI

Suffix

Business Name

SHASHIDHAR DIVAKARUNI MD

Original Issue Date

08/17/1990

Effective Date

08/17/1990

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006