PARTHASARATHY SRINIVASAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

PARTHASARATHY

Last Name

SRINIVASAN

Suffix

Business Name

PARTHASARATHY SRINIVASAN MD

Original Issue Date

10/03/1988

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023