KEMPSAGAR C RAVISHANKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

KEMPSAGAR C

Last Name

RAVISHANKAR

Suffix

Business Name

KEMPSAGAR C RAVISHANKAR MD

Original Issue Date

12/18/1990

Effective Date

12/18/1990

Expiration Date

07/31/1993

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006