SUJATHA KRISHNAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

SUJATHA

Last Name

KRISHNAN

Suffix

Business Name

SUJATHA KRISHNAN MD

Original Issue Date

10/24/2006

Effective Date

10/24/2006

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011