SIVARAMAN SIVASWAMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

SIVARAMAN

Last Name

SIVASWAMI

Suffix

Business Name

SIVARAMAN SIVASWAMI MD

Original Issue Date

08/07/2006

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014