KAVYAMOL THYAGARAJAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072824

License Status

EXPIRED

Business

Title

First Name

KAVYAMOL

Last Name

THYAGARAJAN

Business Name

KAVYAMOL THYAGARAJAN DO

Original Issue Date

06/30/2018

Effective Date

06/30/2018

Expiration Date

06/29/2021

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

10/11/2022