SHYAM PADMANABHAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054079

License Status

EXPIRED

Business

First Name

SHYAM

Last Name

PADMANABHAN

Suffix

Business Name

SHYAM PADMANABHAN MD

Original Issue Date

08/18/2008

Effective Date

08/18/2008

Expiration Date

08/17/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/30/2011