SRINIVAS SUNKAVALLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

SRINIVAS

Last Name

SUNKAVALLY

Suffix

Business Name

SRINIVAS SUNKAVALLY MD

Original Issue Date

06/17/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011