LAKKANNA PADMARAJU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

LAKKANNA

Last Name

PADMARAJU

Suffix

Business Name

LAKKANNA PADMARAJU MD

Original Issue Date

02/06/2003

Effective Date

02/06/2003

Expiration Date

07/31/2008

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/07/2011