SWAMINADHAN GNANASHANMUGAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

SWAMINADHAN

Last Name

GNANASHANMUGAM

Suffix

Business Name

SWAMINADHAN GNANASHANMUGAM MD

Original Issue Date

09/30/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023