PADMA SUNDARAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044832

License Status

NOT RENEWED

Business

First Name

PADMA

Last Name

SUNDARAM

Suffix

Business Name

PADMA SUNDARAM MD

Original Issue Date

09/16/1971

Effective Date

09/16/1971

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006