THIM P NANDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

CANCELLED

Business

First Name

THIM P

Last Name

NANDA

Suffix

Business Name

THIM P NANDA MD

Original Issue Date

01/18/2000

Effective Date

01/18/2000

Expiration Date

07/31/2005

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006