SHOBANA PANDIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

SHOBANA

Last Name

PANDIAN

Suffix

Business Name

SHOBANA PANDIAN MD

Original Issue Date

05/18/2004

Effective Date

05/18/2004

Expiration Date

07/31/2008

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011