THENAPPAN THENAPPAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

THENAPPAN

Last Name

THENAPPAN

Suffix

Business Name

THENAPPAN THENAPPAN MD

Original Issue Date

10/07/2008

Effective Date

05/14/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014