PASUPATHY PADMANABHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

PASUPATHY

Last Name

PADMANABHAN

Suffix

Business Name

PASUPATHY PADMANABHAN MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020