RUBEN JOSEPH MYLVAGANAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

RUBEN

Middle

JOSEPH

Last Name

MYLVAGANAM

Business Name

RUBEN JOSEPH MYLVAGANAM MD

Original Issue Date

12/14/2020

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023