VIJAY KUMAR KRISHNAMOORTHY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

VIJAY

Middle

KUMAR

Last Name

KRISHNAMOORTHY

Suffix

Business Name

VIJAY KUMAR KRISHNAMOORTHY MD

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006