THEYYUNNI MADHAVANUNNI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047979

License Status

NOT RENEWED

Business

First Name

THEYYUNNI

Last Name

MADHAVANUNNI

Suffix

Business Name

THEYYUNNI MADHAVANUNNI MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006