VIDYA SRIRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

VIDYA

Last Name

SRIRAM

Suffix

Business Name

VIDYA SRIRAM MD

Original Issue Date

03/01/1993

Effective Date

05/25/2011

Expiration Date

07/31/2014

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020