BABURAJ THANKAPPAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046437

License Status

CANCELLED

Business

First Name

BABURAJ

Last Name

THANKAPPAN

Suffix

Business Name

BABURAJ THANKAPPAN MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

EVANSTON

State

Zip

60202

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006