SIVAGNANALINGAM SIVAKANTHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

SIVAGNANALINGAM

Last Name

SIVAKANTHA

Suffix

Business Name

SIVAGNANALINGAM SIVAKANTHA MD

Original Issue Date

08/13/1997

Effective Date

08/13/1997

Expiration Date

07/31/1999

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006