SHOBHA MAHADEVAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

SHOBHA

Last Name

MAHADEVAN

Business Name

SHOBHA MAHADEVAN

Original Issue Date

07/30/1998

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023