HARI S CONJEEVARAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

HARI S

Last Name

CONJEEVARAM

Business Name

HARI S CONJEEVARAM

Original Issue Date

01/26/1996

Effective Date

01/26/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006