SIRISH PARVATHANENI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

CANCELLED

Business

First Name

SIRISH

Last Name

PARVATHANENI

Suffix

Business Name

SIRISH PARVATHANENI MD

Original Issue Date

06/06/2000

Effective Date

06/06/2000

Expiration Date

07/31/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020