ATKAVI SAWADISAVI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

ATKAVI

Last Name

SAWADISAVI

Business Name

ATKAVI SAWADISAVI

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2011