KRISHNA KUMAR K BALAKRISHNA MENON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

KRISHNA KUMAR

Middle

Last Name

BALAKRISHNA MENON

Business Name

KRISHNA KUMAR K BALAKRISHNA MENON

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

07/31/2002

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011