SRINIVASAN VIJAYAKUMAR 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

First Name

SRINIVASAN

Last Name

VIJAYAKUMAR

Suffix

Business Name

SRINIVASAN VIJAYAKUMAR MD

Original Issue Date

05/08/1998

Effective Date

05/08/1998

Expiration Date

07/31/2005

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006