ARUN K VILLIVALAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

ARUN

Middle

Last Name

VILLIVALAM

Suffix

Business Name

ARUN K VILLIVALAM MD

Original Issue Date

10/04/2000

Effective Date

12/31/2024

Expiration Date

07/31/2026

City

LINCOLNSHIRE

State

Zip

60059

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2024