PRASAD SOWBHAGYA RAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

PRASAD

Middle

SOWBHAGYA

Last Name

RAVI

Suffix

Business Name

PRASAD SOWBHAGYA RAVI MD

Original Issue Date

07/27/2011

Effective Date

07/27/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014