SRIKANTH A SUNDARAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

SRIKANTH

Middle

Last Name

SUNDARAM

Business Name

SRIKANTH A SUNDARAM

Original Issue Date

02/22/2002

Effective Date

02/22/2002

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008