ADARSH SIVALINGANNA MANJUNATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

Title

First Name

ADARSH

Middle

SIVALINGANNA

Last Name

MANJUNATH

Business Name

ADARSH SIVALINGANNA MANJUNATH MD

Original Issue Date

02/02/2018

Effective Date

02/02/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021