KIRITKUMAR D TRIVEDI 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

KIRITKUMAR D

Last Name

TRIVEDI

Suffix

Business Name

KIRITKUMAR D TRIVEDI MD

Original Issue Date

07/09/1990

Effective Date

06/16/2011

Expiration Date

07/31/2014

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020