PADMANABHAN MUKUNDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

PADMANABHAN

Last Name

MUKUNDAN

Business Name

PADMANABHAN MUKUNDAN MD

Original Issue Date

01/01/1997

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/10/2011