SHASTRI SWAMINATHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

SHASTRI

Last Name

SWAMINATHAN

Suffix

Business Name

SHASTRI SWAMINATHAN MD

Original Issue Date

01/01/1997

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023