VIGNESH THAMILARASU PACKIAM MD - Medical Doctor License in Iowa | # 125061212

VIGNESH THAMILARASU PACKIAM MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061212

License Status

CANCELLED

Business

N

Title

MD

First Name

VIGNESH

Middle

THAMILARASU

Last Name

PACKIAM

Business Name

VIGNESH THAMILARASU PACKIAM MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2015

State

IA

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

03/24/2014