ATHRA KAVIANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

Title

First Name

ATHRA

Last Name

KAVIANI

Business Name

ATHRA KAVIANI MD

Original Issue Date

06/12/2020

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023