KODAKKATU G SURENDRAN-NAIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

KODAKKATU

Middle

Last Name

SURENDRAN-NAIR

Business Name

KODAKKATU G SURENDRAN-NAIR MD

Original Issue Date

04/09/2014

Effective Date

04/09/2014

Expiration Date

07/31/2017

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017