VEDANTHAM SRINIVASAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

VEDANTHAM

Last Name

SRINIVASAN

Suffix

Business Name

VEDANTHAM SRINIVASAN MD

Original Issue Date

09/06/1984

Effective Date

04/27/2011

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017