PADMAM M SRIRAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

CANCELLED

Business

First Name

PADMAM

Middle

Last Name

SRIRAM

Suffix

Business Name

PADMAM M SRIRAM MD

Original Issue Date

06/11/2001

Effective Date

06/11/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006