KRISHNAN SRINIVASAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

KRISHNAN

Last Name

SRINIVASAN

Business Name

KRISHNAN SRINIVASAN MD

Original Issue Date

12/22/2023

Effective Date

12/22/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/22/2023