KISHORE JULIAN THAMPY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

CANCELLED

Business

First Name

KISHORE JULIAN

Last Name

THAMPY

Suffix

Business Name

KISHORE JULIAN THAMPY MD

Original Issue Date

01/01/1997

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

ST AUGUSTINE

State

Zip

32086

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014