GAUTHAM VISWANATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

GAUTHAM

Last Name

VISWANATHAN

Suffix

Business Name

GAUTHAM VISWANATHAN MD

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

07/31/2005

City

JOLIET

State

Zip

60432

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006