KANCHANA R VISWANATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

KANCHANA R

Last Name

VISWANATHAN

Suffix

Business Name

KANCHANA R VISWANATHAN MD

Original Issue Date

06/19/2008

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

BELOIT

State

Zip

53511

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014