SATHISH K S S PERUMAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119724

License Status

NOT RENEWED

Business

Title

First Name

SATHISH

Middle

K S S

Last Name

PERUMAL

Business Name

SATHISH K S S PERUMAL MD

Original Issue Date

11/20/2007

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017