MARIA C THACHENKERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

MARIA C

Last Name

THACHENKERY

Suffix

Business Name

MARIA C THACHENKERY MD

Original Issue Date

08/30/1993

Effective Date

08/30/1993

Expiration Date

07/31/1996

City

BROOKFIELD

State

Zip

60513

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020