VARSHA G CHANDRAMOULI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

VARSHA

Middle

Last Name

CHANDRAMOULI

Business Name

VARSHA G CHANDRAMOULI

Original Issue Date

12/14/2006

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

MUNDELEIN

State

Zip

60060

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023