KRISHNASAMY SAVADAMUTHU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

KRISHNASAMY

Last Name

SAVADAMUTHU

Suffix

Business Name

KRISHNASAMY SAVADAMUTHU MD

Original Issue Date

06/02/1983

Effective Date

09/29/2014

Expiration Date

07/31/2017

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020