DEEPAK SREEKUMARAN NAIR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

DEEPAK

Middle

SREEKUMARAN

Last Name

NAIR

Business Name

DEEPAK SREEKUMARAN NAIR MD

Original Issue Date

09/02/2011

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023