JEENA J PADATH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

JEENA

Middle

Last Name

PADATH

Business Name

JEENA J PADATH

Original Issue Date

07/02/2015

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

NORTHFIELD

State

Zip

60093

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023