VASANTH MADHURE VISHWANATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

VASANTH MADHURE

Last Name

VISHWANATH

Suffix

Business Name

VASANTH MADHURE VISHWANATH MD

Original Issue Date

12/01/1993

Effective Date

12/01/1993

Expiration Date

07/31/1996

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006