SHREY KUMAR THAWAIT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

SHREY

Middle

KUMAR

Last Name

THAWAIT

Business Name

SHREY KUMAR THAWAIT MD

Original Issue Date

08/02/2021

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/10/2024