VARATHA MUTHULINGAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

VARATHA

Last Name

MUTHULINGAM

Business Name

VARATHA MUTHULINGAM

Original Issue Date

04/06/2009

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017