THOMAS V THANDUPURAKAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

THOMAS V

Last Name

THANDUPURAKAL

Suffix

Business Name

THOMAS V THANDUPURAKAL MD

Original Issue Date

01/01/1997

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

FOX LAKE

State

Zip

60020

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021