JAMES PRAVEEN ANTHONY MD 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

JAMES

Middle

PRAVEEN

Last Name

ANTHONY

Suffix

Business Name

JAMES PRAVEEN ANTHONY MD

Original Issue Date

02/26/2010

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014