TOM PAUL VADAKARA MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154448

License Status

NOT RENEWED

Business

First Name

TOM

Middle

PAUL

Last Name

VADAKARA

Suffix

Business Name

TOM PAUL VADAKARA MD

Original Issue Date

05/21/2004

Effective Date

02/17/2016

Expiration Date

03/31/2017

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2017