SRIPAL ADITYA PADAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

SRIPAL

Middle

ADITYA

Last Name

PADAM

Business Name

SRIPAL ADITYA PADAM MD

Original Issue Date

06/12/2012

Effective Date

04/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017