SUDHIR P SRIVASTAVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117894

License Status

NOT RENEWED

Business

First Name

SUDHIR

Middle

Last Name

SRIVASTAVA

Suffix

Business Name

SUDHIR P SRIVASTAVA MD

Original Issue Date

03/23/2007

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

MIDLAND

State

Zip

79707

County

TEXAS

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2011006719

Action

Suspension

Discipline Start Date

10/14/2011

Discipline End Date

03/21/2012

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 03/22/2012.