Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****07

NOT RENEWED

N

MD

SHOBA

THEIVANAYAGAM

SHOBA THEIVANAYAGAM MD

03/17/2010

04/25/2017

09/30/2020

IOWA CITY

IA

52245

PEORIA

PRACTITIONER

II III IV V

N

01/14/2021