BHARGAVI DEVINENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

BHARGAVI

Last Name

DEVINENI

Suffix

Business Name

BHARGAVI DEVINENI MD

Original Issue Date

08/29/2005

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

VERNON HILLS

State

Zip

60061

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014