SAMBASIVA R SUKHAVASI DR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

SAMBASIVA R

Last Name

SUKHAVASI DR

Business Name

SAMBASIVA R SUKHAVASI DR

Original Issue Date

01/06/1989

Effective Date

01/06/1989

Expiration Date

07/31/1990

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006