VIKRANT SIVA JAGADEESAN 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

Title

First Name

VIKRANT

Middle

SIVA

Last Name

JAGADEESAN

Business Name

VIKRANT SIVA JAGADEESAN MD

Original Issue Date

03/01/2017

Effective Date

05/05/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023