REVATHI CHIKKAPPAIAH BELUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

REVATHI

Middle

CHIKKAPPAIAH

Last Name

BELUR

Business Name

REVATHI CHIKKAPPAIAH BELUR MD

Original Issue Date

03/03/2011

Effective Date

09/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/01/2023