BHASKAR N SRIPADA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

BHASKAR N

Last Name

SRIPADA

Business Name

BHASKAR N SRIPADA

Original Issue Date

01/01/1997

Effective Date

04/25/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021