THENAPPAN THENAPPAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122040

License Status

NOT RENEWED

Business

First Name

THENAPPAN

Last Name

THENAPPAN

Suffix

Business Name

THENAPPAN THENAPPAN MD

Original Issue Date

10/06/2008

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014