MARIA C THACHENKERY 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

MARIA C

Last Name

THACHENKERY

Suffix

Business Name

MARIA C THACHENKERY MD

Original Issue Date

04/29/1992

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

LEMONT

State

Zip

60439

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020