MADHAB LAMICHHANE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

CANCELLED

Business

First Name

MADHAB

Last Name

LAMICHHANE

Suffix

Business Name

MADHAB LAMICHHANE MD

Original Issue Date

04/13/2009

Effective Date

04/13/2009

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011