SANDY M THAKADIYIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137325

License Status

NOT RENEWED

Business

Title

First Name

SANDY

Middle

Last Name

THAKADIYIL

Business Name

SANDY M THAKADIYIL MD

Original Issue Date

02/18/2015

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021