SREELA SREEDEVI NAMBOODIRI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

SREELA

Middle

SREEDEVI

Last Name

NAMBOODIRI

Business Name

SREELA SREEDEVI NAMBOODIRI MD

Original Issue Date

06/21/2017

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2023