VIDYA KRISHNAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

VIDYA

Last Name

KRISHNAN

Suffix

Business Name

VIDYA KRISHNAN MD

Original Issue Date

06/20/2002

Effective Date

06/20/2002

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006