RAJAN KANDAVANAM RAJ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

RAJAN

Middle

KANDAVANAM

Last Name

RAJ

Suffix

Business Name

RAJAN KANDAVANAM RAJ MD

Original Issue Date

01/01/1997

Effective Date

09/03/2008

Expiration Date

07/31/2011

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011