BINDU LAKSHMI GANDHIRAJ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

CANCELLED

Business

First Name

BINDU

Middle

LAKSHMI

Last Name

GANDHIRAJ

Suffix

Business Name

BINDU LAKSHMI GANDHIRAJ MD

Original Issue Date

06/29/2005

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

DE KALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020