HEMANTHKUMAR ATHIRAMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062221

License Status

NOT RENEWED

Business

Title

First Name

HEMANTHKUMAR

Last Name

ATHIRAMAN

Business Name

HEMANTHKUMAR ATHIRAMAN MD

Original Issue Date

08/06/2012

Effective Date

08/06/2012

Expiration Date

08/05/2015

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/07/2016