ASHA PAUL THALIATH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064402

License Status

EXPIRED

Business

Title

First Name

ASHA

Middle

PAUL

Last Name

THALIATH

Business Name

ASHA PAUL THALIATH MD

Original Issue Date

06/09/2017

Effective Date

06/09/2017

Expiration Date

06/25/2017

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017