CHARU L TRIVEDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

CHARU L

Last Name

TRIVEDI

Suffix

Business Name

CHARU L TRIVEDI MD

Original Issue Date

02/11/1997

Effective Date

02/11/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006