PASUPATHY PADMANABHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051742

License Status

ACTIVE

Business

First Name

PASUPATHY

Last Name

PADMANABHAN

Suffix

Business Name

PASUPATHY PADMANABHAN MD

Original Issue Date

08/15/1975

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/22/2023