PARVATHY THAIKKENDIYIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117972

License Status

NOT RENEWED

Business

First Name

PARVATHY

Last Name

THAIKKENDIYIL

Suffix

Business Name

PARVATHY THAIKKENDIYIL MD

Original Issue Date

03/29/2007

Effective Date

07/20/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014