PRISCILLA ROCHE MUTHARASAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050757

License Status

EXPIRED

Business

Title

First Name

PRISCILLA

Middle

ROCHE

Last Name

MUTHARASAN

Business Name

PRISCILLA ROCHE MUTHARASAN MD

Original Issue Date

06/17/2006

Effective Date

06/17/2006

Expiration Date

06/16/2009

City

OAK PARK

State

Zip

60302

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009