SHRUTI S TRIVEDI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

SHRUTI

Middle

Last Name

TRIVEDI

Business Name

SHRUTI S TRIVEDI

Original Issue Date

09/15/2003

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

GLENCOE

State

Zip

60022

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023