THIRA GNANAM THUKKANI - Medical Doctor License in Wisconsin | # 036050772

THIRA GNANAM THUKKANI

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050772

License Status

NOT RENEWED

Business

N

First Name

THIRA GNANAM

Last Name

THUKKANI

Business Name

THIRA GNANAM THUKKANI

Original Issue Date

02/25/1975

Effective Date

02/25/1975

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006