PADMAVATHY S PARTHASARATHY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

PADMAVATHY

Middle

Last Name

PARTHASARATHY

Business Name

PADMAVATHY S PARTHASARATHY MD

Original Issue Date

05/05/2014

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017