RAJEEV VASUDEVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

RAJEEV

Last Name

VASUDEVA

Suffix

Business Name

RAJEEV VASUDEVA MD

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017