ANOTHAI TAVEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045391

License Status

NOT RENEWED

Business

First Name

ANOTHAI

Last Name

TAVEE

Suffix

Business Name

ANOTHAI TAVEE MD

Original Issue Date

02/04/1972

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

11/14/2011