ELIATHAMBY KUGANESWARAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

ELIATHAMBY

Last Name

KUGANESWARAN

Suffix

Business Name

ELIATHAMBY KUGANESWARAN MD

Original Issue Date

08/20/2001

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023