SIVA PADMANABHAN SIVAKUMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

SIVA

Middle

PADMANABHAN

Last Name

SIVAKUMAR

Business Name

SIVA PADMANABHAN SIVAKUMAR MD

Original Issue Date

05/10/2022

Effective Date

05/10/2022

Expiration Date

07/31/2023

City

HOOKSETT

State

Zip

03106

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023