VIDHYALAKSHMI VENUGOPAL JAISHANKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

VIDHYALAKSHMI

Middle

VENUGOPAL

Last Name

JAISHANKAR

Suffix

Business Name

VIDHYALAKSHMI VENUGOPAL JAISHANKAR MD

Original Issue Date

10/01/2003

Effective Date

10/01/2003

Expiration Date

07/31/2005

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006