MANOJ PADMANABHAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077170

License Status

CANCELLED

Business

Title

First Name

MANOJ

Last Name

PADMANABHAN

Business Name

MANOJ PADMANABHAN DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

12/30/2022