ASHA PAUL THALIATH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167680

License Status

ACTIVE

Business

Title

First Name

ASHA

Middle

PAUL

Last Name

THALIATH

Business Name

ASHA PAUL THALIATH MD

Original Issue Date

11/15/2023

Effective Date

11/15/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

Ever Disciplined

LastModifiedDate

11/15/2023