JOHN BASIL PADANILAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085353

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

BASIL

Last Name

PADANILAM

Business Name

JOHN BASIL PADANILAM MD

Original Issue Date

06/26/2025

Effective Date

06/26/2025

Expiration Date

06/25/2028

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/28/2025