SHANTHI R GOPI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

SHANTHI

Middle

Last Name

GOPI

Suffix

Business Name

SHANTHI R GOPI MD

Original Issue Date

05/03/1995

Effective Date

05/03/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020