CHITRA SRINIVASAN 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

CHITRA

Last Name

SRINIVASAN

Suffix

Business Name

CHITRA SRINIVASAN MD

Original Issue Date

08/02/2011

Effective Date

08/02/2011

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

11/17/2014