JERRY ARAVAMUDHAN KRISHNAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

JERRY

Middle

ARAVAMUDHAN

Last Name

KRISHNAN

Suffix

Business Name

JERRY ARAVAMUDHAN KRISHNAN MD

Original Issue Date

11/08/2006

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023