KALYANI R TRIVEDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

KALYANI

Middle

Last Name

TRIVEDI

Suffix

Business Name

KALYANI R TRIVEDI MD

Original Issue Date

08/04/2010

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017