LATHA BALAMUNISWAMY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

LATHA

Last Name

BALAMUNISWAMY

Suffix

Business Name

LATHA BALAMUNISWAMY MD

Original Issue Date

09/10/1993

Effective Date

09/10/1993

Expiration Date

07/31/1999

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020