PADMANABAN VENKATACHALAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047358

License Status

NOT RENEWED

Business

First Name

PADMANABAN

Last Name

VENKATACHALAM

Suffix

Business Name

PADMANABAN VENKATACHALAM MD

Original Issue Date

04/23/1973

Effective Date

04/23/1973

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/20/2006