ELIATHAMBY KUGANESWARAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

ELIATHAMBY

Last Name

KUGANESWARAN

Suffix

Business Name

ELIATHAMBY KUGANESWARAN MD

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

07/31/2005

City

KEWANEE

State

Zip

61443

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020