VINODH VASUDEVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

VINODH

Last Name

VASUDEVAN

Suffix

Business Name

VINODH VASUDEVAN MD

Original Issue Date

07/13/2006

Effective Date

07/13/2006

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/06/2008