SATHISH K S S PERUMAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

SATHISH

Middle

K S S

Last Name

PERUMAL

Business Name

SATHISH K S S PERUMAL MD

Original Issue Date

11/27/2007

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/01/2017