K THEODORE DEVARAJ MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003354

License Status

NOT RENEWED

Business

Business Name

K THEODORE DEVARAJ MD SC

Original Issue Date

07/14/1978

Effective Date

07/14/1978

Expiration Date

01/01/1982

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

09/26/2006