TARA N KUMARASWAMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

TARA

Middle

Last Name

KUMARASWAMI

Business Name

TARA N KUMARASWAMI MD

Original Issue Date

07/20/2010

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014