SRIDHAR VENKATACHALAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

SRIDHAR

Last Name

VENKATACHALAM

Suffix

Business Name

SRIDHAR VENKATACHALAM MD

Original Issue Date

08/06/2008

Effective Date

08/06/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011