AMIT K SRIVASTAVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

AMIT K

Last Name

SRIVASTAVA

Suffix

Business Name

AMIT K SRIVASTAVA MD

Original Issue Date

09/20/1985

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023