PAVIL THENAMKODATH CHERIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

PAVIL

Middle

THENAMKODATH

Last Name

CHERIAN

Suffix

Business Name

PAVIL THENAMKODATH CHERIAN MD

Original Issue Date

08/24/2004

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/23/2023