SATHISH K S S PERUMAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049160

License Status

EXPIRED

Business

Title

First Name

SATHISH

Middle

K S S

Last Name

PERUMAL

Business Name

SATHISH K S S PERUMAL MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008