LATHA KUMARASWAMY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

LATHA

Last Name

KUMARASWAMY

Business Name

LATHA KUMARASWAMY

Original Issue Date

06/06/2011

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

PHOENIX

State

Zip

85012

County

ARIZONA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2014