PAVANA RADHAKRISHNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

PAVANA

Last Name

RADHAKRISHNA

Suffix

Business Name

PAVANA RADHAKRISHNA MD

Original Issue Date

01/29/2008

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023