ASHWIN MURIGEPPA SHEELVANTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

ASHWIN

Middle

MURIGEPPA

Last Name

SHEELVANTH

Suffix

Business Name

ASHWIN MURIGEPPA SHEELVANTH MD

Original Issue Date

06/17/2004

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021