RAVI K TRIVEDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

RAVI

Middle

Last Name

TRIVEDI

Suffix

Business Name

RAVI K TRIVEDI MD

Original Issue Date

01/01/1997

Effective Date

05/13/2011

Expiration Date

07/31/2014

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017