MARYANHTHU T DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108812

License Status

NOT RENEWED

Business

First Name

MARYANHTHU

Last Name

Business Name

MARYANHTHU T DO

Original Issue Date

03/17/2003

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021