M PANNIR SELVAM MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

INOPERATIVE

Business

First Name

M PANNIR

Last Name

SELVAM

Suffix

Business Name

M PANNIR SELVAM MD

Original Issue Date

02/07/1983

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023