LAVANYA G SHANKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

LAVANYA

Middle

Last Name

SHANKAR

Suffix

Business Name

LAVANYA G SHANKAR MD

Original Issue Date

04/05/2006

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023