PASUPATHY PADMANABHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

PASUPATHY

Last Name

PADMANABHAN

Suffix

Business Name

PASUPATHY PADMANABHAN MD

Original Issue Date

01/10/2003

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023