THARANI SUNDARARAJAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074752

License Status

CANCELLED

Business

Title

First Name

THARANI

Last Name

SUNDARARAJAN

Business Name

THARANI SUNDARARAJAN MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/07/2019