INDU PRIYA S PARTHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

INDU PRIYA S

Last Name

PARTHA

Suffix

Business Name

INDU PRIYA S PARTHA MD

Original Issue Date

07/08/1996

Effective Date

07/08/1996

Expiration Date

07/31/2005

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006