VIGNESH THAMILARASU PACKIAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061212

License Status

CANCELLED

Business

Title

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

City

IOWA CITY

State

Zip

52246

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/24/2014