VASANTH MADHAV SURATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

VASANTH MADHAV

Last Name

SURATH

Suffix

Business Name

VASANTH MADHAV SURATH MD

Original Issue Date

06/28/1990

Effective Date

06/28/1990

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

09/26/2006