AMBALAVANAR SOMASKANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

AMBALAVANAR

Last Name

SOMASKANDA

Suffix

Business Name

AMBALAVANAR SOMASKANDA MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006