DINESH KUMAR KANAGASABAPATHY KANNABHIRAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134992

License Status

NOT RENEWED

Business

Title

First Name

DINESH KUMAR

Last Name

KANAGASABAPATHY KANNABHIRAN

Business Name

DINESH KUMAR KANAGASABAPATHY KANNABHIRAN MD

Original Issue Date

04/14/2014

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021