BHAVANI L COCA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

BHAVANI

Middle

Last Name

COCA

Business Name

BHAVANI L COCA

Original Issue Date

03/22/2004

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023