PERIAKARUPPAN RAMANATHAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

PERIAKARUPPAN

Last Name

RAMANATHAN

Business Name

PERIAKARUPPAN RAMANATHAN

Original Issue Date

01/01/1997

Effective Date

07/16/2020

Expiration Date

07/31/2023

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023