SRIKANTH VEDACHALAM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

SRIKANTH

Last Name

VEDACHALAM

Business Name

SRIKANTH VEDACHALAM DO

Original Issue Date

04/22/2024

Effective Date

04/22/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2024