MUTHIAH THANGAVELU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044903

License Status

NOT RENEWED

Business

First Name

MUTHIAH

Last Name

THANGAVELU

Suffix

Business Name

MUTHIAH THANGAVELU MD

Original Issue Date

10/08/1971

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

11/01/2017