VENKATESAN RAM KRISHNAMOORTHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

VENKATESAN

Middle

RAM

Last Name

KRISHNAMOORTHI

Suffix

Business Name

VENKATESAN RAM KRISHNAMOORTHI MD

Original Issue Date

06/18/2007

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023