THAMILVANI THIRUVASAHAR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128179

License Status

INACTIVE

Business

Title

First Name

THAMILVANI

Last Name

THIRUVASAHAR

Business Name

THAMILVANI THIRUVASAHAR MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/08/2014