VIJAYA L KAKANI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

VIJAYA

Middle

Last Name

KAKANI

Business Name

VIJAYA L KAKANI

Original Issue Date

11/29/2001

Effective Date

11/29/2001

Expiration Date

07/31/2008

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017