VIKRAM KANAKAYYA DEVISETTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

VIKRAM

Middle

KANAKAYYA

Last Name

DEVISETTY

Suffix

Business Name

VIKRAM KANAKAYYA DEVISETTY MD

Original Issue Date

05/18/2010

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023