SAKTHI P VADIVEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

CANCELLED

Business

First Name

SAKTHI P

Last Name

VADIVEL

Suffix

Business Name

SAKTHI P VADIVEL MD

Original Issue Date

08/04/2005

Effective Date

08/04/2005

Expiration Date

07/31/2008

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2008