PARTHASARATHY SRINIVASAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

PARTHASARATHY

Last Name

SRINIVASAN

Suffix

Business Name

PARTHASARATHY SRINIVASAN MD

Original Issue Date

07/27/1998

Effective Date

07/07/2008

Expiration Date

07/31/2011

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020