License Directory

Padmanaban Venkatachalam Md

Expired

Illinois license 036047358

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036047358
Status
Expired (Not Renewed)
First issued
April 23, 1973
License holder
Padmanaban Venkatachalam Md
Entity type
Individual

Classifications

More from the license record

Current term began
04/23/1973

Contact

Hopedale, IL 61747
Tazewell County