KRISHNAN SRIRAM MD 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

KRISHNAN

Last Name

SRIRAM

Suffix

Business Name

KRISHNAN SRIRAM MD

Original Issue Date

05/28/1998

Effective Date

05/28/1998

Expiration Date

07/31/1999

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020