RAVI RADHAKRISHNAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

CANCELLED

Business

Title

First Name

RAVI

Last Name

RADHAKRISHNAN

Business Name

RAVI RADHAKRISHNAN MD

Original Issue Date

06/11/2009

Effective Date

06/11/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/07/2011