PARVATHY THAIKKENDIYIL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048667

License Status

EXPIRED

Business

First Name

PARVATHY

Last Name

THAIKKENDIYIL

Suffix

Business Name

PARVATHY THAIKKENDIYIL MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/03/2007