HIMABINDU KASIVAJJULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

HIMABINDU

Last Name

KASIVAJJULA

Business Name

HIMABINDU KASIVAJJULA MD

Original Issue Date

04/16/2013

Effective Date

04/16/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017