SUDHIR P SRIVASTAVA 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

SUDHIR

Middle

Last Name

SRIVASTAVA

Suffix

Business Name

SUDHIR P SRIVASTAVA MD

Original Issue Date

04/17/2007

Effective Date

07/09/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017