ATKAVI SAWADISAVI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046330

License Status

NOT RENEWED

Business

First Name

ATKAVI

Last Name

SAWADISAVI

Business Name

ATKAVI SAWADISAVI

Original Issue Date

08/17/1972

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

11/17/2014