BHAVANI SIVARAJAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

BHAVANI

Last Name

SIVARAJAN

Suffix

Business Name

BHAVANI SIVARAJAN MD

Original Issue Date

09/16/1987

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021