NANTHINI SUTHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

NANTHINI

Last Name

SUTHAN

Suffix

Business Name

NANTHINI SUTHAN MD

Original Issue Date

10/19/2012

Effective Date

10/19/2012

Expiration Date

07/31/2014

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020