RAMA SUNDAR VAIDYANATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

RAMA

Middle

SUNDAR

Last Name

VAIDYANATHAN

Suffix

Business Name

RAMA SUNDAR VAIDYANATHAN MD

Original Issue Date

03/19/1999

Effective Date

03/19/1999

Expiration Date

07/31/2005

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006