CHITRA MUTHUSAMY IYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

CHITRA

Middle

MUTHUSAMY

Last Name

IYER

Suffix

Business Name

CHITRA MUTHUSAMY IYER MD

Original Issue Date

04/04/2007

Effective Date

04/04/2007

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008