SANTHANAM KASI KUMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047096

License Status

NOT RENEWED

Business

First Name

SANTHANAM

Middle

KASI

Last Name

KUMAR

Suffix

Business Name

SANTHANAM KASI KUMAR MD

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

09/09/2006

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2006