DEVANAND P MANISUNDARAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

DEVANAND P

Last Name

MANISUNDARAM

Business Name

DEVANAND P MANISUNDARAM

Original Issue Date

07/17/1990

Effective Date

07/17/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006